Individual provider Active NPI

Richard A Glucksman, DDS

  • Dentist
  • Lakewood, CO
National Provider Identifier
1700981784
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
6951 Issued in CO
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, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

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
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160504002532 CO Order and Referring Only - DentistPractitioner - Dentist 7214236793

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6951COMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew 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

Verify at the official NPI Registry.