Individual provider Active NPI

Ronald I Glaeser, D.D.S.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Anchorage, AK
National Provider Identifier
1679697924
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
235 Issued in AK
Practice address
3708 Rhone Cir
Anchorage, AK 99508-5051
Phone
(907) 563-3015
Fax
(907) 562-7996
NPI assigned
Mar 19, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 235 AK Primary

Addresses

Primary practice location

3708 Rhone Cir
Anchorage, AK 99508-5051

Mailing address

3708 Rhone Cir
Anchorage, AK 99508-5051
Phone (907) 563-3015

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
235AKMDOptometrist

NPI Registry JSON

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1679697924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3708 RHONE CIR",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995085051",
            "telephone_number": "907-563-3015",
            "fax_number": "907-562-7996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3708 RHONE CIR",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995085051",
            "telephone_number": "907-563-3015",
            "fax_number": "907-562-7996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLAESER",
        "first_name": "RONALD",
        "middle_name": "I",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "AK",
            "license": "235",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

  • 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.