Amy C Glaser DC PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038-010376 Issued in IL

Legal business name

AMY C GLASER DC PC

Practice address

500 W Union Ave
Litchfield, IL 62056-1937

Phone

(636) 947-9111

NPI assigned

Sep 20, 2006

Last updated

Nov 7, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Amy C Glaser, DC

Title

Owner

Phone

(636) 947-9111

Specialties & licenses 1

Addresses

Other names 1

• Walton CS V PC Former legal business name

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Damon Paul Walton, DC

  • Chiropractor
  • Lincoln, IL
  • NPI 1518297100
  NPD (past)
• Amy Koch, D.C.

  • Chiropractor
  • Chesterfield, MO
  • NPI 1649227067
  NPD (past)

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383782400000",
    "number": "1407954092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 735",
            "city": "FENTON",
            "state": "MO",
            "postal_code": "630260735",
            "telephone_number": "636-947-9111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 W UNION AVE",
            "city": "LITCHFIELD",
            "state": "IL",
            "postal_code": "620561937",
            "telephone_number": "636-947-9111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMY C GLASER DC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2013-11-07",
        "status": "A",
        "authorized_official_last_name": "GLASER",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "636-947-9111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038-010376",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Walton CS V PC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Chiropractor in Litchfield, IL
• Providers in Litchfield, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2013; 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.