Eric B Glass, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2007038129 Issued in MO

Practice address

213 Creekside Office Dr.
Wentzville, MO 63385-4213

Phone

(636) 332-9100

Fax

(636) 332-9125

NPI assigned

Mar 29, 2007

Last updated

Jan 7, 2008By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Specialty

Chiropractic

Education

Logan College of Chiropractic, 2003

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

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.

• Above & Beyond Chiropractic, LLC

  • Chiropractor
  • Wentzville, MO
  • NPI 1083892293
  Medicare reassignment NPD Authorized official
• Vitalize Chiropractic: a Creating Wellness Center LLC

  • Chiropractor
  • Swansea, IL
  • NPI 1639357726
  NPD (past)
• Wellnessone of Swansea, LLC

  • Physical Therapist
  • Swansea, IL
  • NPI 1184842650

  Chiropractor

  NPD (past)

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1199664000000",
    "number": "1245350701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1939 WENTZVILLE PKWY",
            "address_2": "SUITE 322",
            "city": "WENTZVILLE",
            "state": "MO",
            "postal_code": "633853424",
            "telephone_number": "636-332-9100",
            "fax_number": "636-332-9125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "213 CREEKSIDE OFFICE DR.",
            "city": "WENTZVILLE",
            "state": "MO",
            "postal_code": "633854213",
            "telephone_number": "636-332-9100",
            "fax_number": "636-332-9125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLASS",
        "first_name": "ERIC",
        "middle_name": "B",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-29",
        "last_updated": "2008-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": null,
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2007038129",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• General, Laparoscopic & Vascular Surgery, L.L.C.
• Genoa Healthcare LLC
• Geriatric Psychotherapy Services Gina Bax, MSW, LCSW, LLC
• Kimberly Anne Gerth
• Mindy Giger
• Ashley Glockner, PHARMD
• Gmeiner Chiropractic LLC
• Joseph Gmeiner
• Jessica Mae Goins, FNPBC
• Howard Goldberg, MD

• Chiropractor in Wentzville, MO
• Providers in Wentzville, MO by specialty
• Chiropractor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2008; 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.

Verify at the official NPI Registry.