Individual provider Active NPI

John Alexander Hlaudy, D.M.D.

  • Oral and Maxillofacial Surgery (Dentist)
  • Meadville, PA
National Provider Identifier
1568438356
Registry record updated Apr 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
DS036480 Issued in PA
Practice address
505 Poplar St
Meadville, PA 16335-3057
Phone
(814) 373-3032
Fax
(814) 373-3035
NPI assigned
Feb 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X DS036480 PA Primary

Addresses

Primary practice location

505 Poplar St
Meadville, PA 16335-3057

Mailing address

505 Poplar St
Meadville, PA 16335-3057
Phone (814) 373-3032

Other identifiers 1

IdentifierTypeStateIssuer
DS036480OtherPALICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051117000203 PA Practitioner - Maxillofacial SurgeryPractitioner - Oral Surgery 0446279574 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Maxillofacial SurgeryAlso: Oral Surgery
Education
University of Pittsburgh School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

505 Poplar St
Suite 308
Meadville, PA 16335-3083
Phone (814) 373-3032

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DS036480PAMDOral and Maxillofacial Surgery (Dentist)

Practice roles

OrganizationSpecialtyStatusNew patients
John a Hlaudy DMD, Oral and Maxillofacial Surgery, PC CurrentSince Jan 28, 2014 Accepting new patients
Armanini, Kolodychak, & Basile, L.L.P. PastSince Oct 7, 2002 Accepting new patients

Locations

505 Poplar St
Ste 308
Meadville, PA 16335
Phone (814) 373-3032

Organizations & group practices 2

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1140652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714435200000",
    "number": "1568438356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 POPLAR ST",
            "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 ST",
            "city": "MEADVILLE",
            "state": "PA",
            "postal_code": "163353057",
            "telephone_number": "814-373-3032",
            "fax_number": "814-373-3035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HLAUDY",
        "first_name": "JOHN",
        "middle_name": "ALEXANDER",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-23",
        "last_updated": "2024-04-30",
        "certification_date": "2024-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "PA",
            "license": "DS036480",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "DS036480",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Meadville, PA

Sources for this page

Verify at the official NPI Registry.