NPIMap

Organization Active NPI

G Kirk Gleason, DDS, PC

  • General Practice Dentistry
  • Clifton Park, NY
National Provider Identifier
1619040433
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
029292 Issued in NY
Legal business name
G KIRK GLEASON, DDS, PC
Practice address
981 Route 146
Clifton Park, NY 12065-3699
Phone
(518) 371-0224
Fax
(518) 371-8931
NPI assigned
Nov 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. G Kirk Gleason, DDS
Title
Owner
Phone
(518) 371-0224

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 029292 NY Primary

Addresses

Primary practice location

981 Route 146
Clifton Park, NY 12065-3699

Mailing address

981 Route 146
Clifton Park, NY 12065-3699
Phone (518) 371-0224

Other identifiers 1

IdentifierTypeStateIssuer
00523524MedicaidNY

National Provider Directory

National Provider Directory

Locations

981 Route 146
Clifton Park, NY 12065
Phone (518) 371-0224

Practitioners & affiliated clinicians

Practitioners 4

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": "1163721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1619040433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "981 ROUTE 146",
            "city": "CLIFTON PARK",
            "state": "NY",
            "postal_code": "120653699",
            "telephone_number": "518-371-0224",
            "fax_number": "518-371-8931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "981 ROUTE 146",
            "city": "CLIFTON PARK",
            "state": "NY",
            "postal_code": "120653699",
            "telephone_number": "518-371-0224",
            "fax_number": "518-371-8931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "G KIRK GLEASON, DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GLEASON",
        "authorized_official_first_name": "G KIRK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "518-371-0224",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "029292",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00523524",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clifton Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.