Active NPI
David Glazer, DC
- Chiropractor
- St Petersburg, FL
National Provider Identifier
1265185854
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH13920
- Practice address
- 5880 49TH St N Ste 105
Saint Petersburg, FL 33709-2142 - Phone
- (727) 291-1660
- NPI assigned
- Feb 2, 2022
- Last updated
- Feb 2, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CH13920 | FL | Primary |
Addresses
Primary practice location
5880 49TH St N Ste 105
Saint Petersburg, FL 33709-2142
Mailing address
2806 W Cleveland St Apt C
Tampa, FL 33609-3199
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CH13920 | FL | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1643760000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643760000000",
"number": "1265185854",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2806 W CLEVELAND ST APT C",
"city": "TAMPA",
"state": "FL",
"postal_code": "336093199"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5880 49TH ST N STE 105",
"city": "SAINT PETERSBURG",
"state": "FL",
"postal_code": "337092142",
"telephone_number": "727-291-1660"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GLAZER",
"first_name": "DAVID",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-02-02",
"last_updated": "2022-02-02",
"certification_date": "2022-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "FL",
"license": "CH13920",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in St Petersburg, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.