Active NPI
John a Hlaudy DMD, Oral and Maxillofacial Surgery, PC
- Oral and Maxillofacial Surgery Clinic/Center
- Meadville, PA
National Provider Identifier
1497927008
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery Clinic/Center
- License
- DS036480
- Legal business name
- JOHN A HLAUDY DMD, ORAL AND MAXILLOFACIAL SURGERY, PC
- Practice address
- 505 Poplar Street
Suite 308
Meadville, PA 16335-3057 - Phone
- (814) 373-3032
- Fax
- (814) 373-3035
- NPI assigned
- Mar 24, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. John Alexander Hlaudy Jr., DMD
- Title
- President
- Phone
- (814) 373-3032
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery Clinic/Center | 261QS0112X | DS036480 | PA | Primary |
Addresses
Primary practice location
505 Poplar Street
Suite 308
Meadville, PA 16335-3057
Mailing address
505 Poplar Street
Suite 308
Meadville, PA 16335-3057
Phone (814) 373-3032
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
505 Poplar St
Ste 308
Meadville, PA 16335
Phone (814) 373-3032
764 Kennedy St
Meadville, PA 16335
Phone (814) 373-2158
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Oral and Maxillofacial Surgery (Dentist)
- Meadville, PA
- NPI 1568438356
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1206316800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1683072000000",
"number": "1497927008",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "505 POPLAR STREET",
"address_2": "SUITE 308",
"city": "MEADVILLE",
"state": "PA",
"postal_code": "163353057",
"telephone_number": "814-373-3032",
"fax_number": "814-373-3035"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "505 POPLAR STREET",
"address_2": "SUITE 308",
"city": "MEADVILLE",
"state": "PA",
"postal_code": "163353057",
"telephone_number": "814-373-3032",
"fax_number": "814-373-3035"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JOHN A HLAUDY DMD, ORAL AND MAXILLOFACIAL SURGERY, PC",
"organizational_subpart": "NO",
"enumeration_date": "2008-03-24",
"last_updated": "2023-05-03",
"certification_date": "2023-05-03",
"status": "A",
"authorized_official_last_name": "HLAUDY",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "ALEXANDER",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "814-373-3032",
"authorized_official_name_prefix": "Dr.",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "DMD"
},
"taxonomies": [
{
"code": "261QS0112X",
"taxonomy_group": "",
"desc": "Clinic/Center, Oral and Maxillofacial Surgery",
"state": "PA",
"license": "DS036480",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Meadville, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.