NPIMap

Organization Active NPI

Gluckstadt Family Dentistry, PA

  • Dentist
  • Madison, MS
National Provider Identifier
1497009922
Registry record updated Nov 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
3581-11 Issued in MS
Legal business name
GLUCKSTADT FAMILY DENTISTRY, PA
Practice address
1716 Highway 51 Ste G
Madison, MS 39110-5020
Phone
(601) 790-9245
Fax
(601) 790-9236
NPI assigned
Nov 6, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Robert Jeremiah Hauptman, D.M.D.NPI 1588958169
Title
Owner
Phone
(601) 790-9245

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 3581-11 MS Primary

Addresses

Primary practice location

1716 Highway 51 Ste G
Madison, MS 39110-5020

Mailing address

1716 Highway 51 Ste G
Madison, MS 39110-5020
Phone (601) 790-9245

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1352160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352160000000",
    "number": "1497009922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1716 HIGHWAY 51 STE G",
            "city": "MADISON",
            "state": "MS",
            "postal_code": "391105020",
            "telephone_number": "601-790-9245",
            "fax_number": "601-790-9236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1716 HIGHWAY 51 STE G",
            "city": "MADISON",
            "state": "MS",
            "postal_code": "391105020",
            "telephone_number": "601-790-9245",
            "fax_number": "601-790-9236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLUCKSTADT FAMILY DENTISTRY, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-06",
        "last_updated": "2012-11-06",
        "status": "A",
        "authorized_official_last_name": "HAUPTMAN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "JEREMIAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "601-790-9245",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "MS",
            "license": "3581-11",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.