Gary Glass

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Practice address

720 W Cheyenne Ave
2909 White Peaks
N Las Vegas, NV 89030-7807

Phone

(702) 834-4703

NPI assigned

Feb 14, 2014

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

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1392336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392336000000",
    "number": "1699199380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1316 JEFFERSON AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891062858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 W CHEYENNE AVE",
            "address_2": "2909 WHITE PEAKS",
            "city": "N LAS VEGAS",
            "state": "NV",
            "postal_code": "890307807",
            "telephone_number": "702-834-4703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLASS",
        "first_name": "GARY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-02-14",
        "last_updated": "2014-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul E Gentle
• Jessica George, CNA AND PCA
• Lacy Gibson II
• Yvette Gilmore-Wheeler, PH.D.
• Girisgen & Kopolow OD PC
• Shakima Godoy
• Godspeed Behavioral Health L.L.C
• Adaobi Gogo Nwakuche
• Eeling Elaine Goh, O.D.
• Sherrlle L Gohegan

• Community Health Worker in N Las Vegas, NV
• Providers in N Las Vegas, NV by specialty
• Community Health Worker in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.