{"npi":"1982923975","type":"NPI-1","status":"active","name":{"display":"Shannon Glass MD","other":[],"first":"SHANNON","last":"GLASS","middle":"B.","credential":"MD"},"specialty":{"primary_taxonomy":"2085R0202X","primary_taxonomy_description":"Diagnostic Radiology","slug":"diagnostic-radiology","schema_org_specialty":"Radiography","all":[{"code":"390200000X","description":"Student in an Organized Health Care Education/Training Program","primary":false,"state":null,"license":null},{"code":"2085R0202X","description":"Diagnostic Radiology","primary":true,"state":"TX","license":"Q1611"}]},"addresses":[{"purpose":"LOCATION","street_1":"11937 US HIGHWAY 271","city":"TYLER","state":"TX","postal_code":"75708","country_code":"US","phone":"9038777777"},{"purpose":"MAILING","street_1":"PO BOX 846098","city":"DALLAS","state":"TX","postal_code":"752841656","country_code":"US","phone":"9035315000"}],"license":{"state":"TX","number":"Q1611"},"identifiers":[{"type_code":"01","label":"Other","value":"P02057868","state":"TX","issuer":"MEDICARE RAIL ROAD"},{"type_code":"01","label":"Other","value":"8JW906","state":"TX","issuer":"BCBS"},{"type_code":"01","label":"Other","value":"P02057870","state":"TX","issuer":"MEDICARE RAIL ROAD"},{"type_code":"05","label":"Medicaid","value":"348611003","state":"TX","issuer":null},{"type_code":"05","label":"Medicaid","value":"348611004","state":"TX","issuer":null},{"type_code":"01","label":"Other","value":"667447","state":"TX","issuer":"MEDICARE"},{"type_code":"01","label":"Other","value":"667934","state":"TX","issuer":"MEDICARE"},{"type_code":"01","label":"Other","value":"8JP975","state":"TX","issuer":"BCBS"}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20150901002625","type_code":"14-30","type_desc":"PRACTITIONER - DIAGNOSTIC RADIOLOGY","state":"TX","pac_id":"4385950682"}]},"enumeration_date":"2010-05-31","last_updated":"2023-08-28","_meta":{"source":"NPPES","snapshot_date":"2023-08-28","doc_url":"https://findmynpi.com/api"}}