Active NPI
Steven R. Glickman, D.D.S.
- Dentist
- Boca Raton, FL
National Provider Identifier
1831494574
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN0012627
- Practice address
- 7301-A West Palmetto Road
Suite 300-B
Boca Raton, FL 33433 - Phone
- (561) 338-5992
- Fax
- (561) 338-6959
- NPI assigned
- Jan 11, 2011
- Sex
- Male
- Sole proprietor
- Yes
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 | DN0012627 | FL | Primary |
Addresses
Primary practice location
7301-A West Palmetto Road
Suite 300-B
Boca Raton, FL 33433
Mailing address
7301-A West Palmetto Road
Suite 300-B
Boca Raton, FL 33433
Phone (561) 338-5992
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
| License | State | Type | Specialty |
|---|---|---|---|
| DN0012627 | FL | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1294704000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1294704000000",
"number": "1831494574",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7301-A WEST PALMETTO ROAD",
"address_2": "SUITE 300-B",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "33433",
"telephone_number": "561-338-5992",
"fax_number": "561-338-6959"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7301-A WEST PALMETTO ROAD",
"address_2": "SUITE 300-B",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "33433",
"telephone_number": "561-338-5992",
"fax_number": "561-338-6959"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GLICKMAN",
"first_name": "STEVEN",
"middle_name": "R.",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-01-11",
"last_updated": "2011-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "DN0012627",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boca Raton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.