Glenridge Chiropractic, P.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

GLENRIDGE CHIROPRACTIC, P.C.

Practice address

71 S Central Ave Ste 101
Valley Stream, NY 11580-5403

Phone

(516) 612-3742

Fax

(516) 612-3741

NPI assigned

Jun 2, 2025

Organization subpart

No

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

Authorized official

Name

Dr. Glenn H Whitney, D.C.

Title

President/Owner

Phone

(516) 612-3742

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1748822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748822400000",
    "number": "1114810728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "71 S CENTRAL AVE STE 101",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115805403",
            "telephone_number": "516-612-3742",
            "fax_number": "516-612-3741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "71 S CENTRAL AVE STE 101",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115805403",
            "telephone_number": "516-612-3742",
            "fax_number": "516-612-3741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLENRIDGE CHIROPRACTIC, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-02",
        "last_updated": "2025-06-02",
        "certification_date": "2025-05-27",
        "status": "A",
        "authorized_official_last_name": "WHITNEY",
        "authorized_official_first_name": "GLENN",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "516-612-3742",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2025; 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.