Jonathan Rhodes Glass, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

28492 Issued in TX

Practice address

12835 Louetta Rd
Cypress, TX 77429-5207

Phone

(281) 376-9246

NPI assigned

May 18, 2010

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

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Jun 30, 2015 through Jun 30, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Councill and Glass Dental Group, PLLC

  • Dentist
  • Cypress, TX
  • NPI 1952044596
  NPD (past) Authorized official
• R. Terry Councill, DDS, PA

  • Dentist
  • Cypress, TX
  • NPI 1689191454
  NPD (past)

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

{
    "created_epoch": "1274140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369094400000",
    "number": "1487973343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12835 LOUETTA RD",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774295207",
            "telephone_number": "281-376-9246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12835 LOUETTA RD",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774295207",
            "telephone_number": "281-376-9246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLASS",
        "first_name": "JONATHAN",
        "middle_name": "RHODES",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-05-18",
        "last_updated": "2013-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "28492",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Krista Girard
• Giving Care Houston, LLC
• Gla Dental PLLC
• Jonathan Glasper
• Zashonya Glass-Marshall
• Rian Lee Glenn
• Sara D Glennon, LP, LSP
• Glo Dental Group Barker Cypress PLLC
• Esteban Dario Gnass, MD
• Tracey Michelle Godwin, DDS

• Dentist in Cypress, TX
• Providers in Cypress, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2013; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.