Tyler A Glaser, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

5071WI Issued in WI

Practice address

24 Brown Blvd
Rothschild, WI 54474

Phone

(715) 359-4344

Fax

(715) 842-4369

NPI assigned

Oct 25, 2006

Last updated

Mar 4, 2024By the provider in NPPES

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

Enrolled in WI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Glaser Dental

  • Dentist
  • Rothschild, WI
  • NPI 1245507870
  NPD Authorized official
• Szmanda Dental Center

  • Dentist
  • Wausau, WI
  • NPI 1598911802
  NPD (past)
• Szmanda Dental Center, SC

  • Dentist
  • Wausau, WI
  • NPI 1942379805

  General Practice

  NPD (past)

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709510400000",
    "number": "1316021264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 BROWN BLVD",
            "city": "ROTHSCHILD",
            "state": "WI",
            "postal_code": "54474",
            "telephone_number": "715-359-4344",
            "fax_number": "715-359-7733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 BROWN BLVD",
            "city": "ROTHSCHILD",
            "state": "WI",
            "postal_code": "54474",
            "telephone_number": "715-359-4344",
            "fax_number": "715-842-4369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLASER",
        "first_name": "TYLER",
        "middle_name": "A",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-25",
        "last_updated": "2024-03-04",
        "certification_date": "2024-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "5071WI",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Teresa L Cornwell, RN
• Danielle Droessler
• Tammy Kaye Dunow, RN
• Elizabeth Gabriel, RN
• Glaser Dental
• Chelsea Louise Grassl
• Nicole Huth, MA
• Chelsea Rae Jenness, RN
• Christa Johnson, RN
• Jennifer Mary Johnson

• General Practice Dentistry in Rothschild, WI
• Providers in Rothschild, WI by specialty
• General Practice Dentistry in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.