Organization Active NPI

Glen R. Lacinski, D.C a Professional Corporation

  • Chiropractor
  • Tucson, AZ
National Provider Identifier
1285900431
Registry record updated May 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5075 Issued in AZ
Legal business name
GLEN R. LACINSKI, D.C A PROFESSIONAL CORPORATION
Practice address
1135 N Craycroft Rd
Tucson, AZ 85712-4914
Phone
(520) 881-0451
NPI assigned
Mar 31, 2012
Last updated
May 29, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2012

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

Authorized official

Name
Glen Robert Lacinski, D.C.NPI 1578607388
Title
President
Phone
(520) 881-0451

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 5075 AZ Primary

Addresses

Primary practice location

1135 N Craycroft Rd
Tucson, AZ 85712-4914

Mailing address

1135 N Craycroft Rd
Tucson, AZ 85712-4914
Phone (520) 881-0451

National Provider Directory

National Provider Directory

Locations

1135 N Craycroft Rd
Tucson, AZ 85712
Phone (520) 881-0451

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1333152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1338249600000",
    "number": "1285900431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1135 N CRAYCROFT RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857124914",
            "telephone_number": "520-881-0451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1135 N CRAYCROFT RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857124914",
            "telephone_number": "520-881-0451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLEN R. LACINSKI, D.C A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-31",
        "last_updated": "2012-05-29",
        "status": "A",
        "authorized_official_last_name": "LACINSKI",
        "authorized_official_first_name": "GLEN",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "520-881-0451",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "5075",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.