Tara Staten Glover, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3133 Issued in NC

Practice address

224 Westinghouse Blvd Ste 606
Charlotte, NC 28273-6248

Phone

(704) 369-5700

Fax

(704) 817-3070

NPI assigned

Nov 29, 2006

Last updated

Mar 19, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Dr. Tara Marcella Staten Former name

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Specialty

Chiropractic

Education

Life Chiropractic College - West, 2002

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.

• Staten Chiropractic and Wellness Center

  • Chiropractor
  • Charlotte, NC
  • NPI 1891958070
  Medicare reassignment NPD
• Ballantyne Chiropractic Wellness

  • Chiropractor
  • Charlotte, NC
  • NPI 1952653685
  NPD (past)
• Omni Wellness Center PLLC

  dba Omni Wellness Center

  • Chiropractor
  • Charlotte, NC
  • NPI 1639350770
  NPD (past)
• Rucker Chiropractic

  • Chiropractor
  • Lancaster, SC
  • NPI 1679764849
  NPD (past)
• Southern States Physical Therapy LLC

  • Physical Therapist
  • Lancaster, SC
  • NPI 1285024836
  NPD (past)

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710806400000",
    "number": "1083781868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 WESTINGHOUSE BLVD STE 606",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282736248",
            "telephone_number": "704-369-5700",
            "fax_number": "704-817-3070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "224 WESTINGHOUSE BLVD STE 606",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282736248",
            "telephone_number": "704-369-5700",
            "fax_number": "704-817-3070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLOVER",
        "first_name": "TARA",
        "middle_name": "STATEN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-29",
        "last_updated": "2024-03-19",
        "certification_date": "2024-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "3133",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CH 2905",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TARA",
            "last_name": "STATEN",
            "middle_name": "MARCELLA",
            "prefix": "DR.",
            "credential": "DC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Nancy Glover, OTR/L
• Quinn Garahan Glover, LCSW
• Sarah Moseley Glover, LPCA
• Shantia Glover
• Stacia Rae Glover
• Vanessa Glover, SLP
• Marina Glushkova
• Michelle Glymph, ATC
• James F. Gnecco IV, DO
• Go PT First Inc.

• Chiropractor in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Chiropractor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2024; 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.