Individual provider Active NPI

John Michael Glover, DDS

  • General Practice Dentistry
  • Cleburne, TX
National Provider Identifier
1942322318
Registry record updated Oct 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
18120 Issued in TX
Practice address
209 N Ridgeway Dr Ste a
Cleburne, TX 76033-4028
Phone
(817) 641-4488
NPI assigned
Apr 4, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 17, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 18120 TX Primary

Addresses

Primary practice location

209 N Ridgeway Dr Ste a
Cleburne, TX 76033-4028

Mailing address

3215 Vista Lake Cir
Mansfield, TX 76063-5887
Phone (817) 648-5595

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160520001772 TX Order and Referring Only - DentistPractitioner - Dentist 3870882459

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
18120TXMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Adam T. Bond, DDS PLLC CurrentSince Sep 10, 2023 Accepting new patients
Braunlin and Glover Family Dentistry Past Accepting new patients

Locations

209 N Ridgeway Dr
Ste A
Cleburne, TX 76033
Phone (817) 641-4488

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697500800000",
    "number": "1942322318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3215 VISTA LAKE CIR",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760635887",
            "telephone_number": "817-648-5595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 N RIDGEWAY DR STE A",
            "city": "CLEBURNE",
            "state": "TX",
            "postal_code": "760334028",
            "telephone_number": "817-641-4488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLOVER",
        "first_name": "JOHN",
        "middle_name": "MICHAEL",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-04",
        "last_updated": "2023-10-17",
        "certification_date": "2023-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "18120",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleburne, TX

Sources for this page

Verify at the official NPI Registry.