Glazer Spine Center, Inc.

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

GLAZER SPINE CENTER, INC.

Practice address

24725 W. 12 Mile Rd
Suite 260
Southfield, MI 48034

Phone

(248) 353-2225

Fax

(248) 353-2239

NPI assigned

Jan 26, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Shelby Ross Glazer, DC

Title

Owner

Phone

(248) 353-2225

Specialties & licenses 3

Addresses

Other names 1

• Dr. Shelby Glazer PC Former legal business name

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

{
    "created_epoch": "1327536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602720000000",
    "number": "1346511029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24725 W. 12 MILE RD",
            "address_2": "SUITE 260",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "48034",
            "telephone_number": "248-353-2225",
            "fax_number": "248-353-2239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24725 W. 12 MILE RD",
            "address_2": "SUITE 260",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "48034",
            "telephone_number": "248-353-2225",
            "fax_number": "248-353-2239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLAZER SPINE CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-26",
        "last_updated": "2020-10-15",
        "certification_date": "2020-10-15",
        "status": "A",
        "authorized_official_last_name": "GLAZER",
        "authorized_official_first_name": "SHELBY",
        "authorized_official_middle_name": "ROSS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-353-2225",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301007367",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr. Shelby Glazer PC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Geoffrey Gladstone, MD
• Kimberly A Glanda, CRNA
• Heather Glass
• Shayla Glass, LLP
• Glaucoma Center of Michigan PC
• Shelby Ross Glazer, D.C.
• Bryan C Glesmann
• Allison Sue Glickman, LPC
• Natalia V Glisky, MD
• Global Health PLLC

• Chiropractor in Southfield, MI
• Providers in Southfield, MI by specialty
• Chiropractor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2020; 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.