Andrew Tyler Glassell, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

10613 Issued in TN

Practice address

1711 Kirby Pkwy
Memphis, TN 38120-4326

Phone

(901) 591-1526

NPI assigned

Jun 24, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Robert Wohrman DDS

  • General Practice Dentistry
  • Memphis, TN
  • NPI 1992871305
  NPD (past)
• Central Arkansas Dental Associates, Inc.

  • General Practice Dentistry
  • Lonoke, AR
  • NPI 1639225279
  NPD (past)

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

{
    "created_epoch": "1466726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605139200000",
    "number": "1124479738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2364 STRATFIELD DR",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381396632",
            "telephone_number": "931-801-7769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1711 KIRBY PKWY",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381204326",
            "telephone_number": "901-591-1526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLASSELL",
        "first_name": "ANDREW",
        "middle_name": "TYLER",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-24",
        "last_updated": "2020-11-12",
        "certification_date": "2020-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TN",
            "license": "10613",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lesley Glasgow, CRNA
• Javita Glasper, PMHNP-BC
• Glass Seating and Mobility
• Abigail Glass
• Ptosha Glass
• Brenton Edward Glassell, D.D.S., M.D.S.
• Marion Gleadhill
• Vivian L Gleason
• Howard Glenn, DMD
• Martha E Glenn, MD

• All providers in Memphis, TN
• Dentist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2020; 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.