Individual provider Active NPI

Taylor Glasco, DC

  • Chiropractor
  • Debary, FL
National Provider Identifier
1467083386
Registry record updated May 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH13042 Issued in FL
Practice address
275 S Charles Richard Beall Blvd Ste 101
Debary, FL 32713-3719
Phone
(386) 243-0224
Fax
(386) 232-9992
NPI assigned
Jan 29, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH13042 FL Primary

Addresses

Primary practice location

275 S Charles Richard Beall Blvd Ste 101
Debary, FL 32713-3719

Mailing address

275 S Charles Richard Beall Blvd Ste 101
Debary, FL 32713-3719
Phone (386) 243-0224

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
CH13042FLMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1580256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716163200000",
    "number": "1467083386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "275 S CHARLES RICHARD BEALL BLVD STE 101",
            "city": "DEBARY",
            "state": "FL",
            "postal_code": "327133719",
            "telephone_number": "386-243-0224",
            "fax_number": "386-232-9992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 S CHARLES RICHARD BEALL BLVD STE 101",
            "city": "DEBARY",
            "state": "FL",
            "postal_code": "327133719",
            "telephone_number": "386-243-0224",
            "fax_number": "386-232-9992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLASCO",
        "first_name": "TAYLOR",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-29",
        "last_updated": "2024-05-20",
        "certification_date": "2024-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH13042",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Debary, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2024; 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.