Al Glaza

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1193 Issued in SC

Practice address

146 Highway 274
Lake Wylie, SC 29710-6045

Phone

(803) 831-2345

Fax

(803) 831-2007

NPI assigned

Mar 22, 2006

Last updated

Jul 13, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Specialty

Chiropractic

Education

Sherman College of Straight Chiropractic, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Glaza Chiropractic Center, Inc

  • Chiropractor
  • Lake Wylie, SC
  • NPI 1679679971
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1142985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1306805916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 GREEN MEADOW CT",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280567112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "146 HIGHWAY 274",
            "city": "LAKE WYLIE",
            "state": "SC",
            "postal_code": "297106045",
            "telephone_number": "803-831-2345",
            "fax_number": "803-831-2007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLAZA",
        "first_name": "AL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-22",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "1193",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GCH293",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nicole F Gaskins, LPC-A, LCMHC-A
• Aimee Gemme
• Gentle Sticks Mobile Phlebotomy
• Taylor Gipson
• Glaza Chiropractic Center, Inc
• Connor Owen Glaza, DC
• Madison Elizabeth Harkey, OTR/L
• Alan David Hartley, PH.D., DC
• Ellen Christine Hibberts, PA
• Christine Hogan, MA LPC LCAS CCS

• Chiropractor in Lake Wylie, SC
• Providers in Lake Wylie, SC by specialty
• Chiropractor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.