Individual provider Active NPI

Constance Lynn Glass, MD

  • Legal Medicine
  • Carmel, IN
National Provider Identifier
1366447955
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Legal MedicineTaxonomy code 173000000X
License
01045216A Issued in IN
Practice address
13250 Hazel Dell Pkwy
Ste 103
Carmel, IN 46033-8527
Phone
(317) 843-9475
Fax
(317) 843-9476
NPI assigned
Jun 20, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Legal Medicine 173000000X 01045216A IN Primary

Addresses

Primary practice location

13250 Hazel Dell Pkwy
Ste 103
Carmel, IN 46033-8527

Mailing address

13250 Hazel Dell Pkwy
Ste 103
Carmel, IN 46033-8527
Phone (317) 843-9475

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
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
01045216AINMDLegal Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Hazel Dell Pediatraics, LLC Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1119225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1366447955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13250 HAZEL DELL PKWY",
            "address_2": "STE 103",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460338527",
            "telephone_number": "317-843-9475",
            "fax_number": "317-843-9476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13250 HAZEL DELL PKWY",
            "address_2": "STE 103",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460338527",
            "telephone_number": "317-843-9475",
            "fax_number": "317-843-9476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLASS",
        "first_name": "CONSTANCE",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-20",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "",
            "desc": "Legal Medicine",
            "state": "IN",
            "license": "01045216A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carmel, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.