Individual provider Active NPI

Eleah Jennifer Glander, D.C.

  • Chiropractor
  • Oak Creek, WI
National Provider Identifier
1083046320
Registry record updated Nov 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4893-12 Issued in WI
Practice address
1900 W Ryan Rd
Oak Creek, WI 53154-8233
Phone
(414) 761-5777
Fax
(414) 761-7915
NPI assigned
Aug 8, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4893-12 WI Primary

Addresses

Primary practice location

1900 W Ryan Rd
Oak Creek, WI 53154-8233

Mailing address

10920W Forest Home Ave
Hales Corners, WI 53130-2516
Phone (414) 235-3807

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131010000977 WI Practitioner - Chiropractic 3678707486 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

11217 W Forest Home Ave
Suite 3
Franklin, WI 53132-1272
Phone (414) 235-3807

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4893WIMDSocial Worker
4893-12WIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Glander Family Chiropractic, LLC Chiropractor CurrentSince Oct 1, 2018 Accepting new patients

Locations

11217 W Forest Home Ave
Ste 3
Franklin, WI 53132
Phone (414) 235-3807

10920 W Forest Home Ave
Hales Corners, WI 53130
Phone (414) 235-3807

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1375920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1448323200000",
    "number": "1083046320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10920W FOREST HOME AVE",
            "city": "HALES CORNERS",
            "state": "WI",
            "postal_code": "531302516",
            "telephone_number": "414-235-3807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 W RYAN RD",
            "city": "OAK CREEK",
            "state": "WI",
            "postal_code": "531548233",
            "telephone_number": "414-761-5777",
            "fax_number": "414-761-7915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLANDER",
        "first_name": "ELEAH",
        "middle_name": "JENNIFER",
        "name_prefix": "Ms.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-08",
        "last_updated": "2015-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "4893-12",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Creek, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2015; 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.