Mark L Glyman MD DDS & Eric D Swanson MD DMD LTD

Primary specialty

Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X

License

6502 Issued in NV

Legal business name

MARK L GLYMAN MD DDS & ERIC D SWANSON MD DMD LTD

Practice address

825 N Gibson Rd Ste 441
Henderson, NV 89011-1708

Phone

(702) 892-0833

Fax

(702) 892-0906

NPI assigned

Dec 19, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Brenda Gabler

Title

Office Manager

Phone

(702) 892-0833

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in NV

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mark L Glyman, M.D.,D.D.S.

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Las Vegas, NV
  • NPI 1518059617

  Oral and Maxillofacial Surgery

  Medicare reassignment Care Compare group NPD
• Eric D Swanson, M.D.,D.M.D.

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Las Vegas, NV
  • NPI 1780776781

  Oral and Maxillofacial Surgery

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1198022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674432000000",
    "number": "1053595579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 N GIBSON RD STE 441",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890111708",
            "telephone_number": "702-892-0833",
            "fax_number": "702-892-0906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 N GIBSON RD STE 441",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890111708",
            "telephone_number": "702-892-0833",
            "fax_number": "702-892-0906"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1775 Village Center Cir Ste 150",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891340571",
            "country_code": "US",
            "telephone_number": "702-507-5555",
            "fax_number": "702-946-1300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MARK L GLYMAN MD DDS & ERIC D SWANSON MD DMD LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-19",
        "last_updated": "2023-01-23",
        "certification_date": "2023-01-23",
        "status": "A",
        "authorized_official_last_name": "GABLER",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "702-892-0833",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NV",
            "license": "6502",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NV",
            "license": "9150",
            "primary": false
        },
        {
            "code": "204E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "NV",
            "license": "6502",
            "primary": true
        },
        {
            "code": "204E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "NV",
            "license": "9150",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kyle Lyndon Maring, RPH
• Marisa C Medina MD PC
• Mark Bell MD PC
• Mark Burger DO LLC
• Mark Day, D.O., Inc
• Michelle Alicia Mark, D.O.
• Victoria Markantonis, COTA/L CLT
• Brittany Ann Markman Williamson, PA-C
• Ashley Marks
• Erica N Marks

• Oral & Maxillofacial Surgery (D.M.D.) in Henderson, NV
• Providers in Henderson, NV by specialty
• Oral & Maxillofacial Surgery (D.M.D.) in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.