NPIMap

Organization Active NPI

Gladstone & Salerno, DDS,PC

  • Dentist
  • Virginia Beach, VA
National Provider Identifier
1962431643
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
4418 & 6630 Issued in VA
Legal business name
GLADSTONE & SALERNO, DDS,PC
Practice address
5318 Providence Rd
Virginia Beach, VA 23464-4102
Phone
(757) 424-3657
Fax
(757) 424-3451
NPI assigned
Jul 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Myron David Gladstone, DDSNPI 1942233887
Title
Dentist
Phone
(757) 424-3657

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 4418 & 6630 VA Primary

Addresses

Primary practice location

5318 Providence Rd
Virginia Beach, VA 23464-4102

Mailing address

5318 Providence Rd
Virginia Beach, VA 23464-4102
Phone (757) 424-3657

Other identifiers 2

IdentifierTypeStateIssuer
817549OtherPAUNITED CONCORDIA
094701OtherCAANTHEM BC/BS

National Provider Directory

National Provider Directory

Locations

5318 Providence Rd
Virginia Beach, VA 23464
Phone (757) 424-3657

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1962431643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5318 PROVIDENCE RD",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234644102",
            "telephone_number": "757-424-3657",
            "fax_number": "757-424-3451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5318 PROVIDENCE RD",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234644102",
            "telephone_number": "757-424-3657",
            "fax_number": "757-424-3451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLADSTONE & SALERNO, DDS,PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GLADSTONE",
        "authorized_official_first_name": "MYRON",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "757-424-3657",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "VA",
            "license": "4418 & 6630",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "817549",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC/BS",
            "identifier": "094701",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.