Glenda Nuckols, PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

GLENDA NUCKOLS, PC

Doing business as

Wimberley Dental Center

Practice address

181 FM 3237
Wimberley, TX 78676-5324

Phone

(512) 847-8934

Fax

(512) 847-6262

NPI assigned

Oct 15, 2009

Last updated

Nov 17, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Glenda Nuckols, DDSNPI 1508861931

Title

President

Phone

(512) 847-8934

Specialties & licenses 1

Addresses

Other names 1

• Wimberley Dental Center Doing business as

Locations

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.

• Glenda Nuckols, DDS

  • Dentist
  • Wimberley, TX
  • NPI 1508861931
  NPD (past) Authorized official
• Jennifer Michelle Roe, D.D.S

  • Dentist
  • Wimberley, TX
  • NPI 1700043874
  NPD (past)

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

{
    "created_epoch": "1255564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258416000000",
    "number": "1306171947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "181 FM 3237",
            "city": "WIMBERLEY",
            "state": "TX",
            "postal_code": "786765324",
            "telephone_number": "512-847-8934",
            "fax_number": "512-847-6262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "181 FM 3237",
            "city": "WIMBERLEY",
            "state": "TX",
            "postal_code": "786765324",
            "telephone_number": "512-847-8934",
            "fax_number": "512-847-6262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLENDA NUCKOLS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-15",
        "last_updated": "2009-11-17",
        "status": "A",
        "authorized_official_last_name": "NUCKOLS",
        "authorized_official_first_name": "GLENDA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "512-847-8934",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wimberley Dental Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mackenzie Ruth Ford, LDCD
• Freeman Psychotherapy
• Hannah Kay Garcia, MS, RD, LD
• Melodye Ann Gardner, PA-C
• Ellen Gerland, RPH
• Go Psychotherapy & Counseling PLLC
• Alaria T Godwin, LMT, CLT
• Lorraine Lynn Gonzalez, PA-C
• Lindsey Goulden, MA, LPC
• H-E-B, LP (HEB Pharmacy #708)

• General Practice Dentistry in Wimberley, TX
• Providers in Wimberley, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2009; 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.