NPIMap

Organization Active NPI

Glenn Corkins DC PHD PA

Doing business as Advanced Spine Center

  • Chiropractor
  • Lake Worth, FL
National Provider Identifier
1093833329
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH7821 Issued in FL
Legal business name
GLENN CORKINS DC PHD PA
Doing business as
Advanced Spine Center
Practice address
3015 S Congress Ave
Suite 1
Lake Worth, FL 33461-2111
Phone
(561) 433-4184
Fax
(561) 433-1284
NPI assigned
Mar 26, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. H Glenn Corkins, DC, PHD, NMDNPI 1861406050
Title
President
Phone
(561) 433-4184

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CH7821 FL Primary

Addresses

Primary practice location

3015 S Congress Ave
Suite 1
Lake Worth, FL 33461-2111

Mailing address

3015 S Congress Ave
Suite 1
Lake Worth, FL 33461-2111
Phone (561) 433-4184

Other names 1

  • Advanced Spine Center Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1093833329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3015 S CONGRESS AVE",
            "address_2": "SUITE 1",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334612111",
            "telephone_number": "561-433-4184",
            "fax_number": "561-433-1284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3015 S CONGRESS AVE",
            "address_2": "SUITE 1",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334612111",
            "telephone_number": "561-433-4184",
            "fax_number": "561-433-1284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLENN CORKINS DC PHD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CORKINS",
        "authorized_official_first_name": "H",
        "authorized_official_middle_name": "GLENN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-433-4184",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC, PHD, NMD"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH7821",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Spine Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lake Worth, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.