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DR. PAUL BERNARD GLASS D.D.S.
NPI 1396756532
Dentist - General Practice in South Bend, IN

Active since August 11, 2006PECOS Enrolled
2004 EDISON RD STE B, SOUTH BEND, IN 46617(574) 234-0900(574) 234-7553 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Paul Bernard Glass D.d.s. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. PAUL BERNARD GLASS D.D.S. (NPI 1396756532) is an individual general practice provider in South Bend, Indiana, licensed in Indiana (12009864A) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1396756532
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. PAUL BERNARD GLASSCredential: D.D.S.
Location Address2004 EDISON RD STE BSouth Bend, IN 46617-1712
Mailing Address2004 Edison Rd Ste BSouth Bend, IN 46617-1712 · (574) 234-0900 · Fax (574) 234-7553
Phone(574) 234-0900
Fax(574) 234-7553
Sole ProprietorYes
Enumeration DateAugust 11, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1396756532 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in IN · 12009864A
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
2004 EDISON RD STE B, South Bend, IN 46617
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Delta Dental of Indiana, HRI Dental & Vision, Paramount.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Paul Bernard Glass D.d.s. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46617 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$66.48 typical visit price
range $16.93 – $132.22
Typical copayment $16.62 (range $4.23 – $33.05)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PAUL B. GLASS DDS PC
Dentist (General Practice)
2004 EDISON RD STE B
SOUTH BEND, IN 46617
St. Joseph County (574) 234-0900

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Paul Glass's NPI number?

The NPI number for Paul Glass is 1396756532. It was assigned to this individual provider in the NPPES registry on August 11, 2006.

Where is Paul Glass located?

Paul Glass practices at 2004 Edison Rd Ste B, South Bend, IN 46617. The listed phone number is (574) 234-0900.

What is Paul Glass's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Paul Glass enrolled in Medicare?

Yes. Paul Glass is registered in the Medicare PECOS enrollment system.

What insurance does Paul Glass accept?

Health plans from Delta Dental of Indiana, HRI Dental & Vision and Paramount list Paul Glass as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Paul Glass was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.