Active NPI
Glenn Spaulding, M.D.
- Internal Medicine Physician
- Houston, TX
National Provider Identifier
1669729109
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 18421
- Practice address
- 16811 Soaring Forest Dr
Houston, TX 77059-4002 - Phone
- (281) 827-4707
- NPI assigned
- Aug 14, 2012
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 18421 | AZ | Primary |
Addresses
Primary practice location
16811 Soaring Forest Dr
Houston, TX 77059-4002
Mailing address
16811 Soaring Forest Dr
Houston, TX 77059-4002
Phone (281) 827-4707
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18421 | AZ | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1344902400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1344902400000",
"number": "1669729109",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16811 SOARING FOREST DR",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770594002",
"telephone_number": "281-827-4707"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16811 SOARING FOREST DR",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770594002",
"telephone_number": "281-827-4707"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPAULDING",
"first_name": "GLENN",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-08-14",
"last_updated": "2012-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "AZ",
"license": "18421",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.