Active NPI
Richard A Glucksman, DDS
- Dentist
- Lakewood, CO
National Provider Identifier
1700981784
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 6951
- Practice address
- 7373 W Jefferson Ave
Ste 203
Lakewood, CO 80235-2038 - Phone
- (303) 988-3814
- Fax
- (303) 988-2093
- NPI assigned
- Sep 14, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Dentist | 122300000X | 6951 | CO | Primary |
Addresses
Primary practice location
7373 W Jefferson Ave
Ste 203
Lakewood, CO 80235-2038
Mailing address
7373 W Jefferson Ave
Ste 203
Lakewood, CO 80235-2038
Phone (303) 988-3814
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160504002532 | CO | Order and Referring Only - Dentist | 7214236793 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6951 | CO | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| A P Dental Group PLLC | Dentist | Past | Accepting new patients |
Organizations & group practices 1
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": "1158192000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1700981784",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7373 W JEFFERSON AVE",
"address_2": "STE 203",
"city": "LAKEWOOD",
"state": "CO",
"postal_code": "802352038",
"telephone_number": "303-988-3814",
"fax_number": "303-988-2093"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7373 W JEFFERSON AVE",
"address_2": "STE 203",
"city": "LAKEWOOD",
"state": "CO",
"postal_code": "802352038",
"telephone_number": "303-988-3814",
"fax_number": "303-988-2093"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GLUCKSMAN",
"first_name": "RICHARD",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CO",
"license": "6951",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lakewood, CO
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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.