Individual provider Active NPI

Rustin W Glass, D.C.

  • Chiropractor
  • Lancaster, PA
National Provider Identifier
1346219391
Registry record updated May 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC008781 Issued in PA
Practice address
900B Centerville Rd
Lancaster, PA 17601-1416
Phone
(717) 898-8900
Fax
(717) 898-6009
NPI assigned
Mar 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC008781 PA Primary

Addresses

Primary practice location

900B Centerville Rd
Lancaster, PA 17601-1416

Mailing address

900B Centerville Rd
Lancaster, PA 17601-1416
Phone (717) 898-8900

Other identifiers 7

IdentifierTypeStateIssuer
P00231877OtherPARAILROAD EDICARE
50003718OtherPACAPITAL BLUE CROSS
610846400OtherPAUSPS WORKMAN'S COMP
AD1775455OtherPAHIGHMARK BLUE SHIELD
KEYSTONE EASTOtherPA2104754000
1190412OtherPAAETNA
P00231877OtherPARAILRAOD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060112000700 PA Practitioner - ChiropracticPractitioner - Sports Medicine 1456374719 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
ChiropracticAlso: Sports Medicine
Education
Logan College of Chiropractic, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

900 Centerville Rd
Suite B
Lancaster, PA 17601-1487

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC008781PAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Chiropractic & Rehab, PC Chiropractor CurrentSince Oct 31, 2002 Accepting new patients

Locations

900 Centerville Rd
Ste B
Lancaster, PA 17601
Phone (717) 898-7489

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210550400000",
    "number": "1346219391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900B CENTERVILLE RD",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176011416",
            "telephone_number": "717-898-8900",
            "fax_number": "717-898-6009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900B CENTERVILLE RD",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176011416",
            "telephone_number": "717-898-8900",
            "fax_number": "717-898-6009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLASS",
        "first_name": "RUSTIN",
        "middle_name": "W",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-14",
        "last_updated": "2008-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC008781",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD EDICARE",
            "identifier": "P00231877",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL BLUE CROSS",
            "identifier": "50003718",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "USPS WORKMAN'S COMP",
            "identifier": "610846400",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "AD1775455",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "2104754000",
            "identifier": "KEYSTONE EAST",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "1190412",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILRAOD MEDICARE",
            "identifier": "P00231877",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, PA

Sources for this page

Verify at the official NPI Registry.