Individual provider Active NPI

Glenn Hunter Thompson, D.C.

  • Chiropractor
  • Tooele, UT
National Provider Identifier
1407830953
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
17-6239-1202 Issued in UT
Practice address
1244 N Main St
Suite100
Tooele, UT 84074-9838
Phone
(435) 833-9200
Fax
(435) 833-9223
NPI assigned
Nov 29, 2005
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 17-6239-1202 UT Primary

Addresses

Primary practice location

1244 N Main St
Suite100
Tooele, UT 84074-9838

Mailing address

1244 N Main St
Tooele, UT 84074-9839
Phone (435) 833-9200

Other identifiers 1

IdentifierTypeStateIssuer
870395551005MedicaidUT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031222000733 UT Practitioner - Chiropractic 3173421666 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Western States College of Chiropractic, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tooele Valley Spine CenterGroup PAC ID 5294633772, 2 clinicians

Practice addresses (Care Compare)

1244 N Main St
Suite 100
Tooele, UT 84074-9839

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
17-6239-1202UTMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Tooele Valley Spine Center Chiropractor CurrentSince Jan 1, 2004 Accepting new patients

Locations

1244 N Main St
Ste 100
Tooele, UT 84074
Phone (435) 833-9200

1244 N Main St
Tooele, UT 84074
Phone (435) 833-9200

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": "1133222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1407830953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1244 N MAIN ST",
            "city": "TOOELE",
            "state": "UT",
            "postal_code": "840749839",
            "telephone_number": "435-833-9200",
            "fax_number": "435-833-9223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1244 N MAIN ST",
            "address_2": "SUITE100",
            "city": "TOOELE",
            "state": "UT",
            "postal_code": "840749838",
            "telephone_number": "435-833-9200",
            "fax_number": "435-833-9223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "GLENN",
        "middle_name": "HUNTER",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-29",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "UT",
            "license": "17-6239-1202",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "870395551005",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tooele, UT

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.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.