Individual provider Active NPI

Glen Allen Fitzner, D. C.

  • Chiropractor
  • Wichita, KS
National Provider Identifier
1356318877
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
03191 Issued in KS
Practice address
3535 W Central Ave
Wichita, KS 67203-4921
Phone
(316) 943-3208
Fax
(316) 943-3209
NPI assigned
Mar 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 03191 KS Primary

Addresses

Primary practice location

3535 W Central Ave
Wichita, KS 67203-4921

Mailing address

3535 W Central Ave
Wichita, KS 67203-4921
Phone (316) 943-3208

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
03191KSMDMarriage & Family Therapist
3191KSMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1141257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1356318877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3535 W CENTRAL AVE",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672034921",
            "telephone_number": "316-943-3208",
            "fax_number": "316-943-3209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3535 W CENTRAL AVE",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672034921",
            "telephone_number": "316-943-3208",
            "fax_number": "316-943-3209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FITZNER",
        "first_name": "GLEN",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "credential": "D. C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-02",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KS",
            "license": "03191",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

  • 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.