Carl Gerhardt Glaser, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

22D101096100 Issued in NJ

Practice address

US Army Dental Activity
Dentac, BLDG 606, 1St Floor
West Point, NY 10996-1905

Phone

(845) 938-4212

Fax

(845) 938-4302

NPI assigned

Sep 20, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1669579967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "646 SWIFT RD",
            "address_2": "UNITED STATES MILITARY ACADEMY DENTAC,",
            "city": "WEST POINT",
            "state": "NY",
            "postal_code": "109961905",
            "telephone_number": "845-938-4212",
            "fax_number": "845-938-4302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "US ARMY DENTAL ACTIVITY",
            "address_2": "DENTAC, BLDG 606, 1ST FLOOR",
            "city": "WEST POINT",
            "state": "NY",
            "postal_code": "109961905",
            "telephone_number": "845-938-4212",
            "fax_number": "845-938-4302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLASER",
        "first_name": "CARL",
        "middle_name": "GERHARDT",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22D101096100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joshua Keith Frenette, DMD
• Neomie Friedman, M.D.
• Joseph Carl Geraci III
• Daniel J. Gerowitz, DDS
• Sharon Ellen Gillespie IV, CCC-A
• Nathan M Glassley, PA-C
• Natalya Goryunova, M.D., PMHNP
• Sarah E Greb, MA, CCC-SLP
• Roman Greenspan, MD
• Jessica Lynn Guglielmo, RN

• General Practice Dentistry in West Point, NY
• Providers in West Point, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.