Active NPI
Paul J Glodzik, DC
- Chiropractor
- Washington, DC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH030084
- Practice address
- 3333 Connecticut Ave NW
Washington, DC 20008-1305 - Phone
- (202) 966-0473
- Fax
- (202) 537-7131
- NPI assigned
- Jul 22, 2008
- Last updated
- Aug 5, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CH030084 | DC | Primary |
| Chiropractor | 111N00000X | 03559 | MD |
Addresses
Primary practice location
3333 Connecticut Ave NW
Washington, DC 20008-1305
Mailing address
3333 Connecticut Ave NW
Washington, DC 20008-1305
Phone (202) 966-0473
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 2008
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
360 Maple Ave W
Suite B
Vienna, VA 22180-5614
Phone (703) 904-9666
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CH030084 | DC | MD | Chiropractor |
| 03559 | MD | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rxwellness Spine & Health - Arlington LLC | Chiropractor | Current | Accepting new patients |
| Rxwellness Spine & Health - Vienna LLC | Chiropractor | Current | Accepting new patients |
| You Can Be Fit, Inc | Past | Accepting new patients |
Locations
932 N Highland St
Ste A
Arlington, VA 22201
Phone (571) 348-1541
950 Herndon Pkwy
Ste 130
Herndon, VA 20170
Phone (703) 272-5402
360 Maple Ave W
Vienna, VA 22180
Phone (703) 255-3334
360 Maple Ave W
Ste B
Vienna, VA 22180
Phone (434) 989-4901
Organizations & group practices 3
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.
-
dba RxWellness Spine & Health - Vienna Oakton LLC
- Chiropractor
- Vienna, VA
- NPI 1821661612
DC
-
- Sports Physician Chiropractor
- Silver Spring, MD
- NPI 1366645822
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1216684800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1280966400000",
"number": "1205091964",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3333 CONNECTICUT AVE NW",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200081305",
"telephone_number": "202-966-0473",
"fax_number": "202-537-7131"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3333 CONNECTICUT AVE NW",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200081305",
"telephone_number": "202-966-0473",
"fax_number": "202-537-7131"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GLODZIK",
"first_name": "PAUL",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-07-22",
"last_updated": "2010-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "DC",
"license": "CH030084",
"primary": true
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MD",
"license": "03559",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2010; 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.