Active NPI
Brian Robert Glover, DDS
- Dentist
- Chapel Hill, NC
National Provider Identifier
1144353665
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 047803
- Practice address
- 180 Providence Rd Ste 3
Chapel Hill, NC 27514-2206 - Phone
- (919) 226-5506
- Fax
- (919) 748-3012
- NPI assigned
- Mar 13, 2007
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 047803 | NY | Primary |
Addresses
Primary practice location
180 Providence Rd Ste 3
Chapel Hill, NC 27514-2206
Mailing address
180 Providence Rd Ste 3
Chapel Hill, NC 27514-2206
Phone (919) 226-5506
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 |
|---|---|---|---|
| 047803 | NY | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr Brian R Glover & Associates | Current | Accepting new patients | |
| Sophia Manolis DDS P.C. | Past | Accepting new patients | |
| Port Jefferson Dental Group P. C. | Past | Accepting new patients |
Locations
180 Providence Rd
Ste 3
Chapel Hill, NC 27514
Phone (919) 493-8466
Organizations & group practices 3
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.
-
- Dental Clinic/Center
- Chapel Hill, NC
- NPI 1578132635
-
- General Practice Dentistry
- Port Jefferson, NY
- NPI 1093960890
-
- General Practice Dentistry
- Port Jefferson, NY
- NPI 1528725272
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173744000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623801600000",
"number": "1144353665",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "180 PROVIDENCE RD STE 3",
"city": "CHAPEL HILL",
"state": "NC",
"postal_code": "275142206",
"telephone_number": "919-226-5506",
"fax_number": "919-748-3012"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "180 PROVIDENCE RD STE 3",
"city": "CHAPEL HILL",
"state": "NC",
"postal_code": "275142206",
"telephone_number": "919-226-5506",
"fax_number": "919-748-3012"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GLOVER",
"first_name": "BRIAN",
"middle_name": "ROBERT",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-13",
"last_updated": "2021-06-16",
"certification_date": "2021-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NY",
"license": "047803",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chapel Hill, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.