NPIMap

Organization Active NPI

Sharon New Glass D.M.D LLC

  • General Practice Dentistry
  • Clanton, AL
National Provider Identifier
1285037739
Registry record updated Sep 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
6129 Issued in AL
Legal business name
SHARON NEW GLASS D.M.D LLC
Practice address
105 Medical Center Dr
Clanton, AL 35045-2331
Phone
(205) 755-1111
Fax
(205) 755-8448
NPI assigned
Sep 29, 2014
Last updated
Sep 29, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2014

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

Authorized official

Name
Sharon Glass, DMDNPI 1972912848
Title
Owner
Phone
(205) 755-1111

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 6129 AL Primary

Addresses

Primary practice location

105 Medical Center Dr
Clanton, AL 35045-2331

Mailing address

105 Medical Center Dr
Clanton, AL 35045-2331
Phone (205) 755-1111

National Provider Directory

National Provider Directory

Locations

105 Medical Center Dr
Clanton, AL 35045
Phone (205) 755-1111

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1411948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411948800000",
    "number": "1285037739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 MEDICAL CENTER DR",
            "city": "CLANTON",
            "state": "AL",
            "postal_code": "350452331",
            "telephone_number": "205-755-1111",
            "fax_number": "205-755-8448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 MEDICAL CENTER DR",
            "city": "CLANTON",
            "state": "AL",
            "postal_code": "350452331",
            "telephone_number": "205-755-1111",
            "fax_number": "205-755-8448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHARON NEW GLASS D.M.D LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-29",
        "last_updated": "2014-09-29",
        "status": "A",
        "authorized_official_last_name": "GLASS",
        "authorized_official_first_name": "SHARON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "205-755-1111",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AL",
            "license": "6129",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clanton, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2014; 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.