MICHAEL A GLADWELL D.M.D., MD
NPI 1639250673
Oral & Maxillofacial Surgery in Salt Lake City, UT
About Michael A Gladwell D.m.d., Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MICHAEL A GLADWELL D.M.D., MD (NPI 1639250673) is an individual oral & maxillofacial surgery provider in Salt Lake City, Utah, licensed in Utah (347697-1205) and active in the NPI registry since October 2006. He has opted out of Medicare through July 1, 2027.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Michael A Gladwell D.m.d., Md has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from July 1, 2023 through July 1, 2027.
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SALT LAKE CITY, UT 84124
SALT LAKE CITY, UT 84124
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 Michael Gladwell's NPI number?
The NPI number for Michael Gladwell is 1639250673. It was assigned to this individual provider in the NPPES registry on October 18, 2006.
Where is Michael Gladwell located?
Michael Gladwell practices at 1250 E 3900 S Ste 360, Salt Lake City, UT 84124. The listed phone number is (801) 262-7447.
What is Michael Gladwell's specialty?
The primary specialty registered for this NPI is Oral & Maxillofacial Surgery with taxonomy code 204E00000X.
Is Michael Gladwell enrolled in Medicare?
No. Michael Gladwell has opted out of Medicare through July 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.
What insurance does Michael Gladwell accept?
Health plans from BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 13 other insurers list Michael Gladwell 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 Michael Gladwell was last updated on November 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.
# Michael A Gladwell, D.M.D., MD · NPI 1639250673
Oral & Maxillofacial Surgery physician in Salt Lake City, Utah. Individual provider, active in the CMS NPPES registry since October 18, 2006.
## Identity
- **NPI:** 1639250673 (Entity type: Individual)
- **Enumerated:** October 18, 2006
- **Primary specialty:** Oral & Maxillofacial Surgery · taxonomy 204E00000X
- **State license:** 347697-1205 (Utah)
- **Sole proprietor:** No
## Practice location
- **Address:** 1250 E 3900 S STE 360, Salt Lake City, UT 84124-1362
- **Phone:** (801) 262-7447
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through July 1, 2027); services are provided under private contract
## Record status
- **NPPES last updated:** November 12, 2024
- **Other identifiers:** Medicaid 33828100 (WI); Medicaid 935190000 (MN); Medicaid ENROLLED (MN)
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Source: [NPI Profile](https://npiprofile.com/npi/1639250673) · Data from the CMS NPPES public registry.