Organization Active NPI

Glenn a. Hadlock, D.C., Inc.

  • Clinic/Center
  • Sarasota, FL
National Provider Identifier
1194951830
Registry record updated Apr 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
GLENN A. HADLOCK, D.C., INC.
Practice address
5664 Bee Ridge Rd
Suite 102
Sarasota, FL 34233-1504
Phone
(941) 925-1517
NPI assigned
Jun 9, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2014

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

Authorized official

Name
Glenn Allen Hadlock, D.C.NPI 1942300306
Title
President
Phone
(941) 925-1517

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

5664 Bee Ridge Rd
Suite 102
Sarasota, FL 34233-1504

Mailing address

5664 Bee Ridge Rd
Suite 102
Sarasota, FL 34233-1504
Phone (941) 925-1517

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090831000667 FL Part B Supplier - Clinic/Group Practice 9133274962 Receives reassigned benefits from 1 practitioner
Practice locations: Sarasota, FL

National Provider Directory

National Provider Directory

Locations

5664 Bee Ridge Rd
Ste 102
Sarasota, FL 34233
Phone (941) 377-4594

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1244505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397606400000",
    "number": "1194951830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5664 BEE RIDGE RD",
            "address_2": "SUITE 102",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342331504",
            "telephone_number": "941-925-1517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5664 BEE RIDGE RD",
            "address_2": "SUITE 102",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342331504",
            "telephone_number": "941-925-1517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLENN A. HADLOCK, D.C., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-09",
        "last_updated": "2014-04-16",
        "status": "A",
        "authorized_official_last_name": "HADLOCK",
        "authorized_official_first_name": "GLENN",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "941-925-1517",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.