Individual provider Active NPI

Sarah H Glass, D.D.S.

  • Oral and Maxillofacial Pathology Dentistry
  • Richmond, VA
National Provider Identifier
1962812305
Registry record updated Oct 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Pathology DentistryTaxonomy code 1223P0106X
License
0401415451 Issued in VA
Practice address
520 North 12TH Street
Suite 315
Richmond, VA 23298
Phone
(804) 828-1778
Fax
(804) 628-2001
NPI assigned
May 7, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Oral and Maxillofacial Pathology Dentistry 1223P0106X 0401415451 VA Primary

Addresses

Primary practice location

520 North 12TH Street
Suite 315
Richmond, VA 23298

Mailing address

520 North 12TH Street
Suite 215
Richmond, VA 23298
Phone (804) 828-1778

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20190102001635 VA Practitioner - Dentist 6709121221 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dentist
Education
Virginia Commonwealth Univ School of Dentistry, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

520 N 12TH St
Suite 315
Richmond, VA 23298-5064
Phone (804) 828-9190

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Vcu Diagnostic Services LLC Oral and Maxillofacial Pathology CurrentSince Aug 5, 2018 Accepting new patients
Vcu Oral-Facial Surgery and Services LLC Oral and Maxillofacial Pathology CurrentSince Aug 20, 2021 Accepting new patients

Locations

521 N 12th St
Richmond, VA 23298
Phone (804) 828-2977

520 N 12th St
Ste 315B
Richmond, VA 23298

520 N 12th St
Ste 315
Richmond, VA 23298
Phone (804) 828-1778

520 N 12th St
Ste 215
Richmond, VA 23298

520 N 12th St
Richmond, VA 23298
Phone (804) 628-6637

1001 E Leigh St
Fl 14
Richmond, VA 23298
Phone (804) 628-4368

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": "1399420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540339200000",
    "number": "1962812305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 NORTH 12TH STREET",
            "address_2": "SUITE 215",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "23298",
            "telephone_number": "804-828-1778",
            "fax_number": "804-628-2001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 NORTH 12TH STREET",
            "address_2": "SUITE 315",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "23298",
            "telephone_number": "804-828-1778",
            "fax_number": "804-628-2001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLASS",
        "first_name": "SARAH",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-07",
        "last_updated": "2018-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0106X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Pathology",
            "state": "VA",
            "license": "0401415451",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

Verify at the official NPI Registry.