Individual provider Active NPI

Arthur L Glick, D. D. S.

  • General Practice Dentistry
  • Virginia Beach, VA
National Provider Identifier
1508880915
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
0401003730 Issued in VA
Practice address
533 Newtown Rd
Suite 117
Virginia Beach, VA 23462-5600
Phone
(757) 499-3163
Fax
(757) 490-5703
NPI assigned
Jul 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 0401003730 VA Primary

Addresses

Primary practice location

533 Newtown Rd
Suite 117
Virginia Beach, VA 23462-5600

Mailing address

533 Newtown Rd
Suite 117
Virginia Beach, VA 23462-5600
Phone (757) 499-3163

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
0401003730VAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Arthur L. Glick, D.D.S., P.C. Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1508880915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "533 NEWTOWN RD",
            "address_2": "SUITE 117",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234625600",
            "telephone_number": "757-499-3163",
            "fax_number": "757-490-5703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "533 NEWTOWN RD",
            "address_2": "SUITE 117",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234625600",
            "telephone_number": "757-499-3163",
            "fax_number": "757-490-5703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLICK",
        "first_name": "ARTHUR",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "D. D. S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401003730",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.