Organization Active NPI

John a Hlaudy DMD, Oral and Maxillofacial Surgery, PC

  • Oral and Maxillofacial Surgery Clinic/Center
  • Meadville, PA
National Provider Identifier
1497927008
Registry record updated May 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery Clinic/CenterTaxonomy code 261QS0112X
License
DS036480 Issued in PA
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

Updated by the provider on May 3, 2023

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

Authorized official

Name
Dr. John Alexander Hlaudy Jr., DMDNPI 1568438356
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)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
O20140417001136 PA Part B Supplier - Clinic/Group Practice 2860624236 Receives reassigned benefits from 1 practitioner
Practice locations: Meadville, PA

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.