Active NPI
Michael Paul Glouse, DDS
- Dentist
- Monett, MO
National Provider Identifier
1013190404
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 015195
- Practice address
- 800 E Cleveland
Monett, MO 65708-1265 - Phone
- (417) 235-5155
- Fax
- (417) 236-0015
- NPI assigned
- Dec 10, 2007
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 015195 | MO | Primary |
Addresses
Primary practice location
800 E Cleveland
Monett, MO 65708-1265
Mailing address
800 E Cleveland
Monett, MO 65708-1265
Phone (417) 235-5155
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 |
|---|---|---|---|
| 015195 | MO | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Show-Me Endodontics, LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Practice Dentistry
- Monett, MO
- NPI 1407710452
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1197244800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1197244800000",
"number": "1013190404",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 E CLEVELAND",
"city": "MONETT",
"state": "MO",
"postal_code": "657081265",
"telephone_number": "417-235-5155",
"fax_number": "417-236-0015"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 E CLEVELAND",
"city": "MONETT",
"state": "MO",
"postal_code": "657081265",
"telephone_number": "417-235-5155",
"fax_number": "417-236-0015"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GLOUSE",
"first_name": "MICHAEL",
"middle_name": "PAUL",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-12-10",
"last_updated": "2007-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MO",
"license": "015195",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Monett, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 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.