Active NPI
Gerald N Glickman, DDS, MS
- Endodontics
- Dallas, TX
National Provider Identifier
1780850289
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- 14857
- Practice address
- 8335 Walnut Hill LN
#125
Dallas, TX 75231-4216 - Phone
- (214) 691-5223
- Fax
- (214) 691-2871
- NPI assigned
- May 5, 2008
- 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 |
|---|---|---|---|---|
| Endodontics | 1223E0200X | 14857 | TX | Primary |
Addresses
Primary practice location
8335 Walnut Hill LN
#125
Dallas, TX 75231-4216
Mailing address
8335 Walnut Hill LN
#125
Dallas, TX 75231-4216
Phone (214) 691-5223
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14857 | TX | MD | Endodontist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Woodhill Endodontics | Endodontics | 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 and National Provider Directory roles.
-
- Endodontics
- Dallas, TX
- NPI 1972960037
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1209945600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1293494400000",
"number": "1780850289",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8335 WALNUT HILL LN",
"address_2": "#125",
"city": "DALLAS",
"state": "TX",
"postal_code": "752314216",
"telephone_number": "214-691-5223",
"fax_number": "214-691-2871"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8335 WALNUT HILL LN",
"address_2": "#125",
"city": "DALLAS",
"state": "TX",
"postal_code": "752314216",
"telephone_number": "214-691-5223",
"fax_number": "214-691-2871"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GLICKMAN",
"first_name": "GERALD",
"middle_name": "N",
"name_prefix": "Dr.",
"credential": "DDS, MS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-05-05",
"last_updated": "2010-12-28",
"status": "A"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "TX",
"license": "14857",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.