Individual provider Active NPI

Larry Thomas Glasner, DDS

  • Dentist
  • Morganton, NC
National Provider Identifier
1922267095
Registry record updated Jun 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
3996 Issued in NC
Practice address
5155 Western Ave
PO Drawer 1439
Morganton, NC 28655-9696
Phone
(828) 438-6037
Fax
(828) 439-2312
NPI assigned
Jun 4, 2008
Last updated
Jun 4, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 4, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 3996 NC Primary

Addresses

Primary practice location

5155 Western Ave
PO Drawer 1439
Morganton, NC 28655-9696

Mailing address

103 Camelot Dr
Morganton, NC 28655-9037
Phone (828) 437-9976

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

State licenses

LicenseStateTypeSpecialty
3996NCMDCounselor

NPI Registry JSON

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

{
    "created_epoch": "1212537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212537600000",
    "number": "1922267095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 CAMELOT DR",
            "city": "MORGANTON",
            "state": "NC",
            "postal_code": "286559037",
            "telephone_number": "828-437-9976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5155 WESTERN AVE",
            "address_2": "PO DRAWER 1439",
            "city": "MORGANTON",
            "state": "NC",
            "postal_code": "286559696",
            "telephone_number": "828-438-6037",
            "fax_number": "828-439-2312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLASNER",
        "first_name": "LARRY",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-06-04",
        "last_updated": "2008-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NC",
            "license": "3996",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morganton, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2008; 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.