Individual provider Active NPI

Alex Michael Gluhareff, D.D.S.,M.A.G.D.,P.A.

  • General Practice Dentistry
  • Dunnellon, FL
National Provider Identifier
1619096252
Registry record updated Aug 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
0010913 Issued in FL
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, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 22, 2014

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 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

IdentifierTypeStateIssuer
BCBSOtherFL67539
UNITED CONCORDIAOtherFL134640

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

LicenseStateTypeSpecialty
0010913FLMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Cnjuenger CurrentSince Oct 21, 2025 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.

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.

Verify at the official NPI Registry.