Individual provider Active NPI

Helene Glanz, DDS

  • General Practice Dentistry
  • Georgetown, TX
National Provider Identifier
1609007186
Registry record updated Feb 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
19002 Issued in TX
Practice address
2411 Williams Dr
Suite 111
Georgetown, TX 78628-3271
Phone
(512) 864-1445
Fax
(512) 864-1447
NPI assigned
Aug 2, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 19002 TX Primary

Addresses

Primary practice location

2411 Williams Dr
Suite 111
Georgetown, TX 78628-3271

Mailing address

205 E University Ave
Suite 200
Georgetown, TX 78626-6814
Phone (512) 864-1445

Other identifiers 2

IdentifierTypeStateIssuer
2088528-01MedicaidTX
19002OtherTXSTATE BOARD LICNESE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address helene.glanz.p1@direct.lscctx.nextgenshare.com

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171107001915 TX Practitioner - Dentist 2264745553 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
19002TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Lone Star Circle of Care CurrentSince Sep 24, 2017 Accepting new patients
Lone Star Circle of Care CurrentSince Sep 24, 2017 Accepting new patients
Lone Star Circle of Care Current Accepting new patients

Locations

1221 W Ben White Blvd
Ste 200B
Austin, TX 78704
Phone (512) 524-9249

2411 Williams Dr
Ste 111
Georgetown, TX 78628
Phone (512) 864-1445

2423 Williams Dr
Georgetown, TX 78628
Phone (512) 341-8908

205 E University Ave
Ste 200
Georgetown, TX 78626
Phone (512) 686-0207

Organizations & group practices 3

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": "1249171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614124800000",
    "number": "1609007186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 E UNIVERSITY AVE",
            "address_2": "SUITE 200",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786266814",
            "telephone_number": "512-864-1445",
            "fax_number": "512-864-1447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2411 WILLIAMS DR",
            "address_2": "SUITE 111",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786283271",
            "telephone_number": "512-864-1445",
            "fax_number": "512-864-1447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLANZ",
        "first_name": "HELENE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-02",
        "last_updated": "2021-02-24",
        "certification_date": "2021-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "19002",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2088528-01",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE BOARD LICNESE",
            "identifier": "19002",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "helene.glanz.p1@direct.lscctx.nextgenshare.com",
            "affiliation": "N",
            "address_1": "2411 Williams Dr",
            "address_2": "Suite 111",
            "city": "Georgetown",
            "state": "TX",
            "country_code": "US",
            "postal_code": "786283271",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Georgetown, TX

Sources for this page

Verify at the official NPI Registry.