Ian Andrew Glaser DDS PC

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

036700 Issued in NY

Legal business name

IAN ANDREW GLASER DDS PC

Practice address

30 Landing Avenue
Smithtown, NY 11787-2711

Phone

(631) 724-1200

Fax

(631) 724-1201

NPI assigned

May 3, 2007

Last updated

Mar 18, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Ian Andrew Glaser, DDSNPI 1306068994

Title

President

Phone

(631) 724-1200

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ian Andrew Glaser, DDS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Smithtown, NY
  • NPI 1306068994
  NPD (past) Authorized official

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268870400000",
    "number": "1518189117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 LANDING AVENUE",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117872711",
            "telephone_number": "631-724-1200",
            "fax_number": "631-724-1201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 LANDING AVENUE",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117872711",
            "telephone_number": "631-724-1200",
            "fax_number": "631-724-1201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IAN ANDREW GLASER DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2010-03-18",
        "status": "A",
        "authorized_official_last_name": "GLASER",
        "authorized_official_first_name": "IAN",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-724-1200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NY",
            "license": "036700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00908801",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Munira Mufaddal Husainy, MD
• Mya Milannie Hutchins
• Danielle Hyacinthe
• Michael Anthony Iacovelli, L.M.S.W.
• Rosa Maria Iadevaia, LCSW
• Sandra Joan Iannotti, M.D.
• Nicole Ierna
• Joseph Illari, P.T.
• Dennis Michael Illuzzi, D.P.M.
• Michael M Ilyasov

• Orthodontics and Dentofacial Orthopedics Dentistry in Smithtown, NY
• Providers in Smithtown, NY by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2010; 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.