Individual provider Active NPI

Brian Scott Glazier, DDS

  • General Practice Dentistry
  • Cedar City, UT
National Provider Identifier
1033430111
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
8610870-9922 Issued in UT
Practice address
1760 N Main St Ste 106B
Cedar City, UT 84721-7807
Phone
(435) 867-0644
Fax
(435) 867-0645
NPI assigned
Jun 12, 2010
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 8610870-9922 UT Primary

Addresses

Primary practice location

1760 N Main St Ste 106B
Cedar City, UT 84721-7807

Mailing address

1760 N Main St Ste 106B
Cedar City, UT 84721-7807
Phone (435) 867-0644

Other practice location 1

1318 Broadway
Lubbock, TX 79401-3206
Phone (806) 765-2611

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160316002103 UT Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 1456657477

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8610870-9922UTMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Brian S. Glazier, DDS, P.C. 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1276300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1033430111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1760 N MAIN ST STE 106B",
            "city": "CEDAR CITY",
            "state": "UT",
            "postal_code": "847217807",
            "telephone_number": "435-867-0644",
            "fax_number": "435-867-0645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1760 N MAIN ST STE 106B",
            "city": "CEDAR CITY",
            "state": "UT",
            "postal_code": "847217807",
            "telephone_number": "435-867-0644",
            "fax_number": "435-867-0645"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1318 Broadway",
            "address_purpose": "LOCATION",
            "city": "Lubbock",
            "state": "TX",
            "postal_code": "794013206",
            "country_code": "US",
            "telephone_number": "806-765-2611",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GLAZIER",
        "first_name": "BRIAN",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-06-12",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "UT",
            "license": "8610870-9922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar City, UT

Sources for this page

Verify at the official NPI Registry.