Active NPI
Alex Michael Gluhareff, D.D.S.,M.A.G.D.,P.A.
- General Practice Dentistry
- Dunnellon, FL
National Provider Identifier
1619096252
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 0010913
- Practice address
- 11223 N Williams St
Ste C
Dunnellon, FL 34432 - Phone
- (352) 489-3922
- Fax
- (352) 489-8462
- NPI assigned
- Mar 28, 2007
- Last updated
- Aug 22, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 0010913 | FL | Primary |
Addresses
Primary practice location
11223 N Williams St
Ste C
Dunnellon, FL 34432
Mailing address
11223 N Williams St
Ste C
Dunnellon, FL 34432
Phone (352) 489-3922
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| BCBS | Other | FL | 67539 |
| UNITED CONCORDIA | Other | FL | 134640 |
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)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0010913 | FL | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cnjuenger | Current | Accepting new patients | |
| Advanced Dental Care of Orange City P.a. | Past | Accepting new patients | |
| Advanced Dental Care Shady Road LLC | Past | Accepting new patients | |
| Dental Health Services Bradenton PA | Past | Accepting new patients |
Locations
11223 N Williams St
Ste C
Dunnellon, FL 34432
Phone (352) 489-3922
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Practice Dentistry
- Dunnellon, FL
- NPI 1578953113
-
- Dental Clinic/Center
- Dunnellon, FL
- NPI 1902772189
-
- Dentist
- Orange City, FL
- NPI 1427182369
-
- Dentist
- Ocala, FL
- NPI 1457514986
-
- Dentist
- Bradenton, FL
- NPI 1780716191
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175040000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1408665600000",
"number": "1619096252",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11223 N WILLIAMS ST",
"address_2": "STE C",
"city": "DUNNELLON",
"state": "FL",
"postal_code": "34432",
"telephone_number": "352-489-3922",
"fax_number": "352-489-8462"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11223 N WILLIAMS ST",
"address_2": "STE C",
"city": "DUNNELLON",
"state": "FL",
"postal_code": "34432",
"telephone_number": "352-489-3922",
"fax_number": "352-489-8462"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GLUHAREFF",
"first_name": "ALEX",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "D.D.S.,M.A.G.D.,P.A.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-28",
"last_updated": "2014-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "FL",
"license": "0010913",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "67539",
"identifier": "BCBS",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "134640",
"identifier": "UNITED CONCORDIA",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dunnellon, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.