Active NPI
Stephen Dewayne Glass, DDS
- Dentist
- Spring, TX
National Provider Identifier
1063424547
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 19852
- 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, 2023
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 19852 | TX | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New 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.
-
- General Practice Dentistry
- Spring, TX
- NPI 1184564999
-
dba Advanced Dentistry of Spring
- General Practice Dentistry
- Spring, TX
- NPI 1376789057
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.