Active NPI
Glenn A. Ruthven, D.D.S.
- General Practice Dentistry
- Mason, TX
National Provider Identifier
1972500353
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 8326
- Practice address
- 217 North Live Oak Street
Mason, TX 76856 - Phone
- (325) 347-1800
- Fax
- (325) 347-1802
- NPI assigned
- Jun 30, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 8326 | TX | Primary |
Addresses
Primary practice location
217 North Live Oak Street
Mason, TX 76856
Mailing address
PO Box 1886
217 North Live Oak
Mason, TX 76856-1886
Phone (325) 347-1800
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
| License | State | Type | Specialty |
|---|---|---|---|
| 8326 | TX | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120089600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1972500353",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1886",
"address_2": "217 NORTH LIVE OAK",
"city": "MASON",
"state": "TX",
"postal_code": "768561886",
"telephone_number": "325-347-1800",
"fax_number": "325-347-1802"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "217 NORTH LIVE OAK STREET",
"city": "MASON",
"state": "TX",
"postal_code": "76856",
"telephone_number": "325-347-1800",
"fax_number": "325-347-1802"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUTHVEN",
"first_name": "GLENN",
"middle_name": "A.",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-30",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "8326",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mason, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.