GLK Orthodontics PA

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

Legal business name

GLK ORTHODONTICS PA

Practice address

1705 Broadway Ave S Ste a
Rochester, MN 55904-7973

Phone

(507) 288-4427

Fax

(507) 288-8497

NPI assigned

Mar 15, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jodi Kuball

Title

Admin & Financial Coordinator

Phone

(507) 281-3121

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Chad Evans Larson, D.D.S., M.S.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Rochester, MN
  • NPI 1609208826
  NPD
• Arnold J Hill, D.D.S.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Rochester, MN
  • NPI 1275667123
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622073600000",
    "number": "1891829669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1705 BROADWAY AVE S STE A",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559047960",
            "telephone_number": "507-288-4427",
            "fax_number": "507-288-8497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1705 BROADWAY AVE S STE A",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559047973",
            "telephone_number": "507-288-4427",
            "fax_number": "507-288-8497"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2717 Superior Dr NW Ste A",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "MN",
            "postal_code": "559013037",
            "country_code": "US",
            "telephone_number": "507-281-3121",
            "fax_number": "507-281-1059",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GLK ORTHODONTICS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-15",
        "last_updated": "2021-05-27",
        "certification_date": "2021-05-27",
        "status": "A",
        "authorized_official_last_name": "KUBALL",
        "authorized_official_first_name": "JODI",
        "authorized_official_title_or_position": "ADMIN & FINANCIAL COORDINATOR",
        "authorized_official_telephone_number": "507-281-3121"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katrina Nesta Glazebrook, MBCHB
• Kaylee Lynn Gleason, MD
• Ferga C Gleeson, MBBCH
• Stephen Joseph Gleich, M.D.
• Lauren Glessing, M.S. CCC-SLP
• Global Home Health Care, Inc.
• James Glockner, M.D.
• Lilianne Marie Gloe, PHD, LP
• James M Gloor, M.D.
• Annette R Glotfelty, PHD

• Orthodontics and Dentofacial Orthopedics Dentistry in Rochester, MN
• Providers in Rochester, MN by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2021; 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.