Brenton E Glassell DDS MDS PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

BRENTON E GLASSELL DDS MDS PLLC

Doing business as

Weiss and Glassell Orthodontics

Practice address

5866 Ridge Bend Rd Ste 1
Memphis, TN 38120-9477

Phone

(901) 767-7370

Fax

(901) 685-7854

NPI assigned

Dec 21, 2020

Organization subpart

No

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

Authorized official

Name

Brenton Glassell, DDS, MDSNPI 1376980706

Title

Dentist

Phone

(901) 767-7370

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Weiss and Glassell Orthodontics Doing business as

Electronic endpoints 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Brenton Edward Glassell, D.D.S., M.D.S.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Memphis, TN
  • NPI 1376980706
  NPD Authorized official
• Danny Weiss, D.D.S.,M.S.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Memphis, TN
  • NPI 1881777126
  NPD (past)

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

{
    "created_epoch": "1608508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658102400000",
    "number": "1770179061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5866 RIDGE BEND RD STE 1",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381209477",
            "telephone_number": "901-767-7370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5866 RIDGE BEND RD STE 1",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381209477",
            "telephone_number": "901-767-7370",
            "fax_number": "901-685-7854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRENTON E GLASSELL DDS MDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-21",
        "last_updated": "2022-07-18",
        "certification_date": "2022-07-18",
        "status": "A",
        "authorized_official_last_name": "GLASSELL",
        "authorized_official_first_name": "BRENTON",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "901-767-7370",
        "authorized_official_credential": "DDS, MDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "197586608",
            "state": "TN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Memphis",
            "affiliation": "N",
            "address_1": "5885 Ridgeway Center Pkwy Ste 200",
            "city": "Memphis",
            "state": "TN",
            "country_code": "US",
            "postal_code": "381204012",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Weiss and Glassell Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Weiss and Glassell Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Matthew Breit, D.D.S.
• Anna Victoria Breland, DO
• Brenda Richardson Memorial Acre Homes
• Amanda Brenner
• Zachary Brent, PHARM.D.
• Lauren Brereton, RD
• Laura Bresee, MA CCC SLP
• Jacqueline Renee Breuer, CRNA
• Logan M Brewer
• Susan Crouch Brewer, MD

• Dental Clinic/Center in Memphis, TN
• Providers in Memphis, TN by specialty
• Dental Clinic/Center in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2022; 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.