DR. JOHN CHARLES GLUECKERT DDS
NPI 1417082280
Dentist - General Practice in South Bend, IN

Q: What is John Glueckert's NPI number?

The NPI number for John Glueckert is 1417082280. It was assigned to this individual provider in the NPPES registry on February 22, 2007.

Q: What is John Glueckert's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for John Glueckert was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since February 22, 2007PECOS Enrolled

3121 MISHAWAKA AVE, SOUTH BEND, IN 46615(574) 288-9411 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. John Charles Glueckert Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JOHN CHARLES GLUECKERT DDS (NPI 1417082280) is an individual general practice provider in South Bend, Indiana, licensed in Indiana (018390) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417082280

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. JOHN CHARLES GLUECKERTCredential: DDS

Location Address3121 MISHAWAKA AVESouth Bend, IN 46615-2349

Mailing Address3121 Mishawaka AveSouth Bend, IN 46615-2349 · (574) 288-9411

Phone(574) 288-9411

Sole ProprietorYes

Enumeration DateFebruary 22, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1417082280 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in IN · 018390

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

3121 MISHAWAKA AVE, South Bend, IN 46615

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include DentaQuest USA Insurance.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. John Charles Glueckert Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46615 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$82.04 typical visit price

range $53.07 – $161.76

Typical copayment $20.51 (range $13.26 – $40.44)

Most-billed visit code 99203

Established Patient

$66.48 typical visit price

range $16.93 – $132.22

Typical copayment $16.62 (range $4.23 – $33.05)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is John Glueckert's NPI number?

The NPI number for John Glueckert is 1417082280. It was assigned to this individual provider in the NPPES registry on February 22, 2007.

Where is John Glueckert located?

John Glueckert practices at 3121 Mishawaka Ave, South Bend, IN 46615. The listed phone number is (574) 288-9411.

What is John Glueckert's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is John Glueckert enrolled in Medicare?

Yes. John Glueckert is registered in the Medicare PECOS enrollment system.

What insurance does John Glueckert accept?

Health plans from DentaQuest USA Insurance list John Glueckert as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for John Glueckert was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.