Active NPI
Eleah Jennifer Glander, D.C.
- Chiropractor
- Oak Creek, WI
National Provider Identifier
1083046320
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 4893-12
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 4893 | WI | MD | Social Worker |
| 4893-12 | WI | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Glander Family Chiropractic, LLC | Chiropractor | Current | 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.
-
- Chiropractor
- Franklin, WI
- NPI 1538641303
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.