Glenn Micheels, D.C.

Primary specialty

Rehabilitation ChiropractorTaxonomy code 111NR0400X

License

5567 Issued in AZ

Practice address

17224 N 43Rd Ave
Suite 105
Glendale, AZ 85308-4025

Phone

(602) 301-3013

Fax

(602) 843-3787

NPI assigned

Mar 20, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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 AZ

Enrollment records 1

Specialty

Chiropractic

Education

Life Chiropractic College - West, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Parkway Chiropractic, P.C.

  • Chiropractor
  • Peoria, AZ
  • NPI 1376727180
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1023133139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8923 W DALEY LN",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853831938",
            "telephone_number": "602-301-3013",
            "fax_number": "602-843-3787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17224 N 43RD AVE",
            "address_2": "SUITE 105",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853084025",
            "telephone_number": "602-301-3013",
            "fax_number": "602-843-3787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICHEELS",
        "first_name": "GLENN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "AZ",
            "license": "5567",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael L Berger OD PC
• Michael L Kravetz, MD, PLC
• Michael L. Sweeney,MSW,P.C.
• Cecil Frances Michael Jr., MD
• Rebecca Jeannine Michael, FNP-C
• Stephanie Larsen Mickelsen, LCSW
• Jazmin Denise Mickens, RD
• Lexi Lynn Mickey, AGDNP-C
• Christopher Justin Micu
• Donald Ray Middleton, DO

• Rehabilitation Chiropractor in Glendale, AZ
• Providers in Glendale, AZ by specialty
• Rehabilitation Chiropractor in Arizona

• 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.