Christopher Glecos, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS041931 Issued in PA

Practice address

900 Water St
Meadville, PA 16335-3428

Phone

(814) 333-6000

Fax

(814) 333-6001

NPI assigned

Aug 23, 2018

Last updated

Aug 23, 2018By 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

Other identifiers 1

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": "1534982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534982400000",
    "number": "1720569270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 N CENTER ST",
            "city": "CORRY",
            "state": "PA",
            "postal_code": "164071626",
            "telephone_number": "814-664-2012",
            "fax_number": "814-664-2017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 WATER ST",
            "city": "MEADVILLE",
            "state": "PA",
            "postal_code": "163353428",
            "telephone_number": "814-333-6000",
            "fax_number": "814-333-6001"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "209 N Center St",
            "address_purpose": "LOCATION",
            "city": "Corry",
            "state": "PA",
            "postal_code": "164071626",
            "country_code": "US",
            "telephone_number": "814-664-2012",
            "fax_number": "814-664-2017",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GLECOS",
        "first_name": "CHRISTOPHER",
        "name_prefix": "Mr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-08-23",
        "last_updated": "2018-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS041931",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE DENTAL BOARD",
            "identifier": "DS041931",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Samuel A Gibson, PA-C
• Bridget Starr Gill, CRNP
• Atifa Gillani
• Susan Gizzie, LPC
• Brittany Glass-Moran, LPC NCC CAADC CCTP
• Craig R Godfrey, D.O.
• Luis L Gomez, MD
• Gonstead Family Chiropractic, P.C.
• Goss Eye Care, LLC (Crawford Eye Associates)
• Sara Goss, O.D.

• General Practice Dentistry in Meadville, PA
• Providers in Meadville, PA by specialty
• General Practice Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2018; 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.