Panagiotis Glavas, DDS

Primary specialty

ProsthodonticsTaxonomy code 1223P0700X

License

047563 Issued in NY

Practice address

535 Plandome Rd Rear 2
Manhasset, NY 11030-1972

Phone

(516) 487-6453

Fax

(516) 439-4866

NPI assigned

Apr 10, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• White Hall Dental, PC

  • Dentist
  • New Hyde Park, NY
  • NPI 1376268821
  Medicare reassignment NPD
• Ideal Dental Implants

  • Dental Clinic/Center
  • Mineola, NY
  • NPI 1144639857
  NPD (past) Authorized official
• JJ Moreira MD PC

  • Neuromusculoskeletal Medicine & OMM Physician
  • Mineola, NY
  • NPI 1063608990
  NPD (past)

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

{
    "created_epoch": "1144627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594598400000",
    "number": "1619930864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "535 PLANDOME RD REAR 2",
            "city": "MANHASSET",
            "state": "NY",
            "postal_code": "110301972",
            "telephone_number": "516-487-6453",
            "fax_number": "516-439-4866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 PLANDOME RD REAR 2",
            "city": "MANHASSET",
            "state": "NY",
            "postal_code": "110301972",
            "telephone_number": "516-487-6453",
            "fax_number": "516-439-4866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLAVAS",
        "first_name": "PANAGIOTIS",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-10",
        "last_updated": "2020-07-13",
        "certification_date": "2020-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "047563",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "047563",
            "primary": false
        },
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "NY",
            "license": "047563",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aaron J Gindea, MD
• Michelle Giovanniello, M.A.
• Sarah Girardi, MD
• Rose Ann Gittens, LMSW
• Michael J Giuffrida, M.D.
• Vasiliki Gliagias, MD
• Holly Sue Goetz, PHARMD
• Magdalina Gofman, MSPT
• Jacqueline Gofshteyn, MD
• Bradley Harris Goldberg, M.D.

• Prosthodontics in Manhasset, NY
• Providers in Manhasset, NY by specialty
• Prosthodontics in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.