Active NPI
Helene Glanz, DDS
- General Practice Dentistry
- Georgetown, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 19002
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2088528-01 | Medicaid | TX | |
| 19002 | Other | TX | STATE BOARD LICNESE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20171107001915 | TX | Practitioner - Dentist | 2264745553 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19002 | TX | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lone Star Circle of Care | Current | Accepting new patients | |
| Lone Star Circle of Care | Current | 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.
-
- Federally Qualified Health Center (FQHC)
- Austin, TX
- NPI 1679351555
-
- Federally Qualified Health Center (FQHC)
- Austin, TX
- NPI 1699289728
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2021; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.