Individual provider Active NPI

Glen Robert Ginter, DDS

  • Pediatric Dentistry
  • Katy, TX
National Provider Identifier
1992806574
Registry record updated Oct 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
10046 Issued in TX
Practice address
21830 Kingsland Blvd
Ste 104
Katy, TX 77450
Phone
(281) 578-7100
Fax
(281) 398-8817
NPI assigned
Sep 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X 10046 TX Primary

Addresses

Primary practice location

21830 Kingsland Blvd
Ste 104
Katy, TX 77450

Mailing address

21830 Kingsland Blvd
Ste 104
Katy, TX 77450
Phone (281) 578-7100

Other identifiers 1

IdentifierTypeStateIssuer
008224001MedicaidTX

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
10046TXMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Glen R. Ginter, DDS, Inc. Past Accepting new patients

Organizations & group practices 1

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": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318982400000",
    "number": "1992806574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21830 KINGSLAND BLVD",
            "address_2": "STE 104",
            "city": "KATY",
            "state": "TX",
            "postal_code": "77450",
            "telephone_number": "281-578-7100",
            "fax_number": "281-398-8817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21830 KINGSLAND BLVD",
            "address_2": "STE 104",
            "city": "KATY",
            "state": "TX",
            "postal_code": "77450",
            "telephone_number": "281-578-7100",
            "fax_number": "281-398-8817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GINTER",
        "first_name": "GLEN",
        "middle_name": "ROBERT",
        "name_prefix": "Mr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-26",
        "last_updated": "2011-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "TX",
            "license": "10046",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008224001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Katy, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2011; 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.