Organization Active NPI

Donald Glass II MD PHD PLLC

  • Dermatology Physician
  • Prosper, TX
National Provider Identifier
1477426682
Registry record updated Mar 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
DONALD GLASS II MD PHD PLLC
Practice address
170 S Preston Rd Ste 10
Prosper, TX 75078-1724
Phone
(972) 430-8816
Fax
(972) 430-8818
NPI assigned
Sep 24, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2026

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

Authorized official

Name
Donald Glass, MD, PHDNPI 1508052036
Title
Owner
Phone
(281) 224-0060

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X Primary

Addresses

Primary practice location

170 S Preston Rd Ste 10
Prosper, TX 75078-1724

Mailing address

170 S Preston Rd Ste 10
Prosper, TX 75078-1724
Phone (972) 430-8816

Other names 1

  • Catalyst Dermatology Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260306001223 TX Part B Supplier - Clinic/Group Practice 3476035593 Receives reassigned benefits from 1 practitioner
Practice locations: Prosper, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2332978Catalyst Dermatology170 S Preston Rd Ste 10, Prosper, TX 75078Provider-performed microscopyOct 27, 2027

National Provider Directory

National Provider Directory

Locations

170 S Preston Rd
Ste 10
Prosper, TX 75078
Phone (972) 430-8816

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1758672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773705600000",
    "number": "1477426682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 S PRESTON RD STE 10",
            "city": "PROSPER",
            "state": "TX",
            "postal_code": "750781724",
            "telephone_number": "972-430-8816",
            "fax_number": "972-430-8818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 S PRESTON RD STE 10",
            "city": "PROSPER",
            "state": "TX",
            "postal_code": "750781724",
            "telephone_number": "972-430-8816",
            "fax_number": "972-430-8818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DONALD GLASS II MD PHD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-24",
        "last_updated": "2026-03-17",
        "certification_date": "2026-03-17",
        "status": "A",
        "authorized_official_last_name": "GLASS",
        "authorized_official_first_name": "DONALD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-224-0060",
        "authorized_official_credential": "MD, PHD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Catalyst Dermatology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Prosper, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.