NPIMap

Organization Active NPI

Glenn Caine DO

  • General Practice Physician
  • Waukesha, WI
National Provider Identifier
1336424670
Registry record updated Oct 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
34605 Issued in WI
Legal business name
GLENN CAINE DO
Practice address
620 Bell St
Waukesha, WI 53186-5172
Phone
(414) 313-4652
NPI assigned
Oct 19, 2011
Last updated
Oct 13, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2012

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

Authorized official

Name
Glenn CaineNPI 1811007560
Title
President
Phone
(414) 313-4652

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 34605 WI Primary

Addresses

Primary practice location

620 Bell St
Waukesha, WI 53186-5172

Mailing address

620 Bell St
Waukesha, WI 53186-5172

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1318982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350086400000",
    "number": "1336424670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 BELL ST",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531865172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 BELL ST",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531865172",
            "telephone_number": "414-313-4652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLENN CAINE DO",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-19",
        "last_updated": "2012-10-13",
        "status": "A",
        "authorized_official_last_name": "CAINE",
        "authorized_official_first_name": "GLENN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "414-313-4652"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "WI",
            "license": "34605",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waukesha, WI

Sources for this page

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