Active NPI
Dean Robert Gladura, DDS
- General Practice Dentistry
- Pataskala, OH
National Provider Identifier
1992871610
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 30019510
- Practice address
- 124 Emswiler Way
Pataskala, OH 43062 - Phone
- (740) 927-3981
- Fax
- (740) 927-2666
- NPI assigned
- Nov 27, 2006
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 30019510 | OH | Primary |
Addresses
Primary practice location
124 Emswiler Way
Pataskala, OH 43062
Mailing address
124 Emswiler Way
Pataskala, OH 43062
Phone (740) 927-3981
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 |
|---|---|---|---|
| 30019510 | OH | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164585600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1354665600000",
"number": "1992871610",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "124 EMSWILER WAY",
"city": "PATASKALA",
"state": "OH",
"postal_code": "43062",
"telephone_number": "740-927-3981",
"fax_number": "740-927-2666"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "124 EMSWILER WAY",
"city": "PATASKALA",
"state": "OH",
"postal_code": "43062",
"telephone_number": "740-927-3981",
"fax_number": "740-927-2666"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GLADURA",
"first_name": "DEAN",
"middle_name": "ROBERT",
"name_prefix": "Mr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-27",
"last_updated": "2012-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "OH",
"license": "30019510",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pataskala, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.