Organization Active NPI

JD Glover, PLLC

  • Family Medicine Physician
  • Monument, CO
National Provider Identifier
1225575103
Registry record updated Jan 30, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
51890 Issued in CO
Legal business name
JD GLOVER, PLLC
Practice address
1840 Deer Creek Rd
Suite 101
Monument, CO 80132-9089
Phone
(719) 344-2789
Fax
(719) 362-1102
NPI assigned
Jan 30, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2017

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

Authorized official

Name
Dr. Jamie Dahlgren Glover, MDNPI 1487648150
Title
Founder/Solo Physician
Phone
(850) 797-3560

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
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 51890 CO Primary

Addresses

Primary practice location

1840 Deer Creek Rd
Suite 101
Monument, CO 80132-9089

Mailing address

17745 Grama RDG
Colorado Springs, CO 80908-1360
Phone (850) 797-3560

Other names 1

  • Glover Family Medicine Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
06D2127389Glover Family Medicine1840 Deer Creek Rd, Ste 101, Monument, CO 80132Provider-performed microscopyMar 13, 2027

National Provider Directory

National Provider Directory

Locations

1840 Deer Creek Rd
Ste 101
Monument, CO 80132
Phone (719) 344-2789

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": "1485734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485734400000",
    "number": "1225575103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17745 GRAMA RDG",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809081360",
            "telephone_number": "850-797-3560",
            "fax_number": "719-362-1102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1840 DEER CREEK RD",
            "address_2": "SUITE 101",
            "city": "MONUMENT",
            "state": "CO",
            "postal_code": "801329089",
            "telephone_number": "719-344-2789",
            "fax_number": "719-362-1102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JD GLOVER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-30",
        "last_updated": "2017-01-30",
        "status": "A",
        "authorized_official_last_name": "GLOVER",
        "authorized_official_first_name": "JAMIE",
        "authorized_official_middle_name": "DAHLGREN",
        "authorized_official_title_or_position": "FOUNDER/SOLO PHYSICIAN",
        "authorized_official_telephone_number": "850-797-3560",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "51890",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Glover Family Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Monument, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.