David Mark Glick, D.C

Primary specialty

Neurology ChiropractorTaxonomy code 111NN0400X

License

0104000858 Issued in VA

Practice address

7329 Boulder View LN
Richmond, VA 23225-4953

Phone

(804) 327-0084

Fax

(866) 602-1146

NPI assigned

Feb 2, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1073651725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2597",
            "city": "CHESTERFIELD",
            "state": "VA",
            "postal_code": "238329115",
            "telephone_number": "804-327-0084",
            "fax_number": "866-602-1146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7329 BOULDER VIEW LN",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232254953",
            "telephone_number": "804-327-0084",
            "fax_number": "866-602-1146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLICK",
        "first_name": "DAVID",
        "middle_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "D.C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NN0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Neurology",
            "state": "VA",
            "license": "0104000858",
            "primary": true
        },
        {
            "code": "111NN0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Neurology",
            "state": "DE",
            "license": "F--0000526",
            "primary": false
        },
        {
            "code": "111NN0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Neurology",
            "state": "NJ",
            "license": "38MC00446700",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Glen Forest Associates, LTD.
• Glen Forest Counseling and Consulting
• Glenburnie Operator LLC
• Imani Glenn
• Glenside Medical Associates, LLC
• Marissa Glick
• Alexandra G Glickman, DDS
• Courtenay Glisson, MD
• Global and Alternative Solutions LLC
• Ashley L Glor Crocker, CRNA

• Neurology Chiropractor in Richmond, VA
• Providers in Richmond, VA by specialty
• Neurology Chiropractor in Virginia

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.