Organization Active NPI

Alden B Glidden MDPC

  • Family Medicine Physician
  • Klamath Falls, OR
National Provider Identifier
1962534966
Registry record updated Oct 14, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OR7620 Issued in OR
Legal business name
ALDEN B GLIDDEN MDPC
Practice address
2680 Uhrmann Rd Ste B
Klamath Falls, OR 97601-1174
Phone
(541) 882-8823
Fax
(541) 883-6481
NPI assigned
Mar 12, 2007
Last updated
Oct 14, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2007

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

Authorized official

Name
Dr. Alden B. Glidden, M.D.
Title
Owner
Phone
(541) 882-8823

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OR7620 OR Primary

Addresses

Primary practice location

2680 Uhrmann Rd Ste B
Klamath Falls, OR 97601-1174

Mailing address

2680 Uhrmann Rd Ste B
Klamath Falls, OR 97601-1174
Phone (541) 882-8823

Other identifiers 1

IdentifierTypeStateIssuer
274623MedicaidOR

National Provider Directory

National Provider Directory

Locations

2680 Uhrmann Rd
Ste B
Klamath Falls, OR 97601
Phone (541) 882-8823

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192320000000",
    "number": "1962534966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2680 UHRMANN RD STE B",
            "city": "KLAMATH FALLS",
            "state": "OR",
            "postal_code": "976011174",
            "telephone_number": "541-882-8823",
            "fax_number": "541-883-6481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2680 UHRMANN RD STE B",
            "city": "KLAMATH FALLS",
            "state": "OR",
            "postal_code": "976011174",
            "telephone_number": "541-882-8823",
            "fax_number": "541-883-6481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALDEN B GLIDDEN MDPC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-12",
        "last_updated": "2007-10-14",
        "status": "A",
        "authorized_official_last_name": "GLIDDEN",
        "authorized_official_first_name": "ALDEN",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-882-8823",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OR",
            "license": "OR7620",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "274623",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Klamath Falls, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2007; 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.