Jordan J Glenn PLLC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

JORDAN J GLENN PLLC

Practice address

7727 W Deer Valley Rd Ste 220
Peoria, AZ 85382-2121

Phone

(602) 843-8317

Fax

(602) 843-9091

NPI assigned

May 21, 2025

Organization subpart

No

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

Authorized official

Name

Dr. Jordan Glenn, DONPI 1093008237

Title

Member

Phone

(801) 310-3031

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jordan J Glenn, DO

  • Surgery Physician
  • Peoria, AZ
  • NPI 1093008237
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1747785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756425600000",
    "number": "1023800414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7727 W DEER VALLEY RD STE 220",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853822121",
            "telephone_number": "602-843-8317",
            "fax_number": "602-843-9091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7727 W DEER VALLEY RD STE 220",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853822121",
            "telephone_number": "602-843-8317",
            "fax_number": "602-843-9091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JORDAN J GLENN PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-21",
        "last_updated": "2025-08-29",
        "certification_date": "2025-08-29",
        "status": "A",
        "authorized_official_last_name": "GLENN",
        "authorized_official_first_name": "JORDAN",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "801-310-3031",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine M Jones, OTR/L
• Matthew Thomas Jones, DNP FNP-C
• Michelle Lenore Jones, RBT
• Natasha Jones
• Shelby Jones
• Mary-Angela Jordan, DTR
• Ronald K Jorgensen, MD
• Joseph a Caplan MD PC
• Willio Joseph, PA
• Joshi Integrated Clinic LLC

• Surgery Physician in Peoria, AZ
• Providers in Peoria, AZ by specialty
• Surgery Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.