Individual provider Active NPI

Glenn W Horrigan II, DDS

  • General Practice Dentistry
  • San Antonio, TX
National Provider Identifier
1437418969
Registry record updated Oct 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
29743 Issued in TX
Practice address
3031 W Woodlawn Ave Ste 101
San Antonio, TX 78228-5017
Phone
(210) 886-8080
NPI assigned
May 3, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 4, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 056819 NY
General Practice Dentistry 1223G0001X 29743 TX Primary

Addresses

Primary practice location

3031 W Woodlawn Ave Ste 101
San Antonio, TX 78228-5017

Mailing address

3031 W Woodlawn Ave Ste 101
San Antonio, TX 78228-5017
Phone (210) 886-8080

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

State licenses

LicenseStateTypeSpecialty
29743TXMDGeneral Practice Dentistry
056819NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Woodlawn RSVH PLLC General Practice CurrentSince Oct 10, 2021 Accepting new patients

Locations

3031 W Woodlawn Ave
Ste 101
San Antonio, TX 78228
Phone (210) 886-8080

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": "1336003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633305600000",
    "number": "1437418969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3031 W WOODLAWN AVE STE 101",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782285017",
            "telephone_number": "210-886-8080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3031 W WOODLAWN AVE STE 101",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782285017",
            "telephone_number": "210-886-8080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HORRIGAN",
        "first_name": "GLENN",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-05-03",
        "last_updated": "2021-10-04",
        "certification_date": "2021-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "056819",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "29743",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2021; 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.