NPIMap

Organization Active NPI

West Park Chiropractic

  • Chiropractor
  • N Wilkesboro, NC
National Provider Identifier
1295808392
Registry record updated Jul 17, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2375 Issued in NC
Legal business name
WEST PARK CHIROPRACTIC
Practice address
1904 W Park Dr
N Wilkesboro, NC 28659-3563
Phone
(336) 667-1212
NPI assigned
Nov 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2007

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

Authorized official

Name
Dr. Mark J Glanzer, D.C.
Title
Chiropractor
Phone
(336) 667-1212

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2375 NC Primary

Addresses

Primary practice location

1904 W Park Dr
N Wilkesboro, NC 28659-3563

Mailing address

1904 W Park Dr
N Wilkesboro, NC 28659-3563
Phone (336) 667-1212

National Provider Directory

National Provider Directory
Tax ID family
Carolina Chiropractic Consultants2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184630400000",
    "number": "1295808392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1904 W PARK DR",
            "city": "N WILKESBORO",
            "state": "NC",
            "postal_code": "286593563",
            "telephone_number": "336-667-1212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1904 W PARK DR",
            "city": "N WILKESBORO",
            "state": "NC",
            "postal_code": "286593563",
            "telephone_number": "336-667-1212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST PARK CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-16",
        "last_updated": "2007-07-17",
        "status": "A",
        "authorized_official_last_name": "GLANZER",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "336-667-1212",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "2375",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in N Wilkesboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2007; 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.