Individual provider Active NPI

Stephen Dewayne Glass, DDS

  • Dentist
  • Spring, TX
National Provider Identifier
1063424547
Registry record updated Feb 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
19852 Issued in TX
Practice address
7000 Louetta Rd
Suite a
Spring, TX 77379-7456
Phone
(281) 376-1214
Fax
(281) 257-2704
NPI assigned
Aug 12, 2006
Last updated
Feb 20, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 19852 TX
Dentist 122300000X 19852 TX Primary

Addresses

Primary practice location

7000 Louetta Rd
Suite a
Spring, TX 77379-7456

Mailing address

7000 Louetta Rd
Suite a
Spring, TX 77379-7456
Phone (281) 376-1214

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

LicenseStateTypeSpecialty
19852TXMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Edgar and Glass DDS PLLC General Practice Current Accepting new patients
Stephen D Glass DDS PLLC General Practice Current Accepting new patients

Locations

7000 Louetta Rd
Ste A
Spring, TX 77379
Phone (281) 376-1214

Organizations & group practices 2

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": "1155340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676851200000",
    "number": "1063424547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7000 LOUETTA RD",
            "address_2": "SUITE A",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773797456",
            "telephone_number": "281-376-1214",
            "fax_number": "281-257-2704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7000 LOUETTA RD",
            "address_2": "SUITE A",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773797456",
            "telephone_number": "281-376-1214",
            "fax_number": "281-257-2704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLASS",
        "first_name": "STEPHEN",
        "middle_name": "DEWAYNE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-12",
        "last_updated": "2023-02-20",
        "certification_date": "2023-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "19852",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "19852",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.