Michael Glass Family and Cosmetic Dentry

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

MICHAEL GLASS FAMILY AND COSMETIC DENTRY

Practice address

131 E Columbia Ave
Suite 101
Battle Creek, MI 49015-3788

Phone

(269) 963-9670

Fax

(269) 963-9672

NPI assigned

Feb 23, 2010

Organization subpart

No

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

Authorized official

Name

Lillie Blythe

Title

Office MGR

Phone

(269) 963-9670

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Latisha Opal Glass, DDS

  • Dentist
  • Battle Creek, MI
  • NPI 1972565935
  NPD (past)
• Michael Eugene Glass, DDS

  • General Practice Dentistry
  • Battle Creek, MI
  • NPI 1326004722
  NPD (past)

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

{
    "created_epoch": "1266883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266883200000",
    "number": "1366764946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 E COLUMBIA AVE",
            "address_2": "SUITE 101",
            "city": "BATTLE CREEK",
            "state": "MI",
            "postal_code": "490153788",
            "telephone_number": "269-963-9670",
            "fax_number": "269-963-9672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 E COLUMBIA AVE",
            "address_2": "SUITE 101",
            "city": "BATTLE CREEK",
            "state": "MI",
            "postal_code": "490153788",
            "telephone_number": "269-963-9670",
            "fax_number": "269-963-9672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL GLASS FAMILY AND COSMETIC DENTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-23",
        "last_updated": "2010-02-23",
        "status": "A",
        "authorized_official_last_name": "BLYTHE",
        "authorized_official_first_name": "LILLIE",
        "authorized_official_title_or_position": "OFFICE MGR",
        "authorized_official_telephone_number": "269-963-9670"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4709263",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Ann Mettler, MD
• John Edward Meyer, PA-C
• Shannon Miarka, RDH
• Mibuddyride LLC
• Michael E. Tamm DMD PLLC
• Michigan Care, LLC
• Michigan Radiation Oncology, PC
• Michigan Senior Care Living, LLC
• Penny Delynne-Rosenbrook Mickel
• Carl Wesley Middlebush, PHD

• Dentist in Battle Creek, MI
• Providers in Battle Creek, MI by specialty
• Dentist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2010; 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.