Individual provider Active NPI

Glenn Eugene Horsky, D.C.

  • Chiropractor
  • Boothwyn, PA
National Provider Identifier
1013053198
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC002394-L Issued in PA
Practice address
2414 Blueball Ave
Boothwyn, PA 19061-3653
Phone
(610) 485-3090
NPI assigned
Jan 29, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC002394-L PA Primary

Addresses

Primary practice location

2414 Blueball Ave
Boothwyn, PA 19061-3653

Mailing address

2414 Blueball Ave
Boothwyn, PA 19061-3653
Phone (610) 485-3090

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101105000052 PA Practitioner - Chiropractic 2264626001 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2414 Blueball Ave
Upper Chichester, PA 19061-3653
Phone (610) 485-3090

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC002394-LPAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Family Chiropractic Center Chiropractor CurrentSince May 14, 1982 Accepting new patients

Locations

2414 Blueball Ave
Upper Chichester, PA 19061
Phone (610) 485-3090

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1013053198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2414 BLUEBALL AVE",
            "city": "BOOTHWYN",
            "state": "PA",
            "postal_code": "190613653",
            "telephone_number": "610-485-3090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2414 BLUEBALL AVE",
            "city": "BOOTHWYN",
            "state": "PA",
            "postal_code": "190613653",
            "telephone_number": "610-485-3090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HORSKY",
        "first_name": "GLENN",
        "middle_name": "EUGENE",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC002394-L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boothwyn, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.