Active NPI
Brian Scott Glazier, DDS
- General Practice Dentistry
- Cedar City, UT
National Provider Identifier
1033430111
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 8610870-9922
- 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, 2022
- Sex
- Male
- Sole proprietor
- Yes
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 | 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160316002103 | UT | Order and Referring Only - Oral Surgery | 1456657477 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8610870-9922 | UT | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.