Illya Glazunov, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

6213 Issued in OR

Practice address

2625 Queen Ave SE
Albany, OR 97322-6863

Phone

(541) 928-8266

NPI assigned

Mar 20, 2022

Last updated

Mar 20, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Specialty

Chiropractic

Education

Western States College of Chiropractic, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Networks

• devoted network organization-83621310-88c0-4660-8f8d-b8ea8f4dc04e
• WA PPO C-SNP

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Better Pain Solutions LLC

  dba South Albany Chiropractic Clinic

  • Chiropractor
  • Albany, OR
  • NPI 1093455248
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1647734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647734400000",
    "number": "1003565904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2828 LUCIA CT NW",
            "city": "ALBANY",
            "state": "OR",
            "postal_code": "973211194",
            "telephone_number": "503-953-5647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2625 QUEEN AVE SE",
            "city": "ALBANY",
            "state": "OR",
            "postal_code": "973226863",
            "telephone_number": "541-928-8266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLAZUNOV",
        "first_name": "ILLYA",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-03-20",
        "last_updated": "2022-03-20",
        "certification_date": "2022-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "6213",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Gilbert, MS
• Adam Giles, BS, PSYCHOLOGY
• Shane Matthew Gjesdal, MD
• Susana Maria Glade
• Tressa Glaser, LMT
• James Danil Glenn, CRNA
• Gary A. Goby, M.D.
• Brent W Godek, M.D.
• Paula J Godfrey, D.O.
• Christopher Goeke

• Chiropractor in Albany, OR
• Providers in Albany, OR by specialty
• Chiropractor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.