Joseph Charles Glenn, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4249 Issued in OK

Practice address

6401 N Interstate Dr Ste 148
Norman, OK 73069-9524

Phone

(405) 801-3665

Fax

(405) 801-3666

NPI assigned

May 23, 2013

Last updated

Nov 18, 2022By 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 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Specialty

Chiropractic

Education

Cleveland Chiropractic College - Kansas City, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Proactive Chiropractic LLC

  • Chiropractor
  • Norman, OK
  • NPI 1578281663
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1369267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668729600000",
    "number": "1063859650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6401 N INTERSTATE DR STE 148",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730699524",
            "telephone_number": "405-801-3665",
            "fax_number": "913-341-4301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6401 N INTERSTATE DR STE 148",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730699524",
            "telephone_number": "405-801-3665",
            "fax_number": "405-801-3666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLENN",
        "first_name": "JOSEPH",
        "middle_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-05-23",
        "last_updated": "2022-11-18",
        "certification_date": "2022-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KS",
            "license": "01-05538",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OK",
            "license": "4249",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "joseph@proactivechiropractic.org",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "6401 N Interstate Dr Ste 148",
            "city": "Norman",
            "state": "OK",
            "country_code": "US",
            "postal_code": "730699524",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Starla A Givens, APRN-FNP
• Kyle Joseph Glander, PT
• Julie Marie Glasco, BHCMII
• Katelyn Gleason, BHRS
• Patricia Gleason
• Marshall Andrew Glenn, LPC
• William Fred Glenn
• Glenna Stumblingbear-Riddle, PH.D., PLLC
• John L Glomset III, MD
• Joshua Goalden

• Chiropractor in Norman, OK
• Providers in Norman, OK by specialty
• Chiropractor in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 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.