Active NPI
Glen Scott Thornton, D.C.
- Nutrition Chiropractor
- Brandon, FL
National Provider Identifier
1356416671
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutrition Chiropractor
- License
- CH-0005881
- Practice address
- 906 Lithia Pinecrest Rd
Brandon, FL 33511-6121 - Phone
- (813) 685-7107
- NPI assigned
- Nov 21, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutrition Chiropractor | 111NN1001X | CH-0005881 | FL | Primary |
Addresses
Primary practice location
906 Lithia Pinecrest Rd
Brandon, FL 33511-6121
Mailing address
906 Lithia Pinecrest Rd
Brandon, FL 33511-6121
Phone (813) 685-7107
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
| License | State | Type | Specialty |
|---|---|---|---|
| CH-0005881 | FL | MD | Nutrition Chiropractor |
| 5881 | FL | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thornton Chiropractic Center, P.a. | Nutrition | Current | Accepting new patients |
| Champion Wellness Centers, Fishhawk, LLC | Past | Accepting new patients |
Locations
906 Lithia Pinecrest Rd
Brandon, FL 33511
Phone (813) 409-3304
Organizations & group practices 2
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.
-
- Nutrition Chiropractor
- Brandon, FL
- NPI 1659505329
-
- Chiropractor
- Brandon, FL
- NPI 1386207272
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164067200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1280880000000",
"number": "1356416671",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "906 LITHIA PINECREST RD",
"city": "BRANDON",
"state": "FL",
"postal_code": "335116121",
"telephone_number": "813-685-7107"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "906 LITHIA PINECREST RD",
"city": "BRANDON",
"state": "FL",
"postal_code": "335116121",
"telephone_number": "813-685-7107"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THORNTON",
"first_name": "GLEN",
"middle_name": "SCOTT",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-21",
"last_updated": "2010-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "111NN1001X",
"taxonomy_group": "",
"desc": "Chiropractor, Nutrition",
"state": "FL",
"license": "CH-0005881",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brandon, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.