Active NPI
Scott Turner Glidden, D.C.
- Chiropractor
- Michigan City, IN
National Provider Identifier
1407124464
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 08002614A
- Practice address
- 8690 W Pahs Rd
Michigan City, IN 46360-7666 - Phone
- (219) 872-5151
- Fax
- (219) 872-0177
- NPI assigned
- Dec 6, 2011
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 08002614A | IN | Primary |
Addresses
Primary practice location
8690 W Pahs Rd
Michigan City, IN 46360-7666
Mailing address
8690 W Pahs Rd
Michigan City, IN 46360-7666
Phone (219) 872-5151
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 |
|---|---|---|---|
| 08002614A | IN | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1323129600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1323129600000",
"number": "1407124464",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8690 W PAHS RD",
"city": "MICHIGAN CITY",
"state": "IN",
"postal_code": "463607666",
"telephone_number": "219-872-5151",
"fax_number": "219-872-0177"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8690 W PAHS RD",
"city": "MICHIGAN CITY",
"state": "IN",
"postal_code": "463607666",
"telephone_number": "219-872-5151",
"fax_number": "219-872-0177"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GLIDDEN",
"first_name": "SCOTT",
"middle_name": "TURNER",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-12-06",
"last_updated": "2011-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IN",
"license": "08002614A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Michigan City, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.