Individual provider Active NPI

Glenn Richard Levy, DC

  • Chiropractor
  • Reno, NV
National Provider Identifier
1477631976
Registry record updated Dec 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
B-535 Issued in NV
Practice address
615 Sierra Rose Dr Ste 2C
Reno, NV 89511-4009
Phone
(775) 322-5389
Fax
(775) 826-8466
NPI assigned
Nov 1, 2006
Last updated
Dec 4, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 4, 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 B-535 NV Primary

Addresses

Primary practice location

615 Sierra Rose Dr Ste 2C
Reno, NV 89511-4009

Mailing address

615 Sierra Rose Dr Ste 2C
Reno, NV 89511-4009
Phone (775) 322-5389

Other names 1

  • Glenn Richard Levy Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080116000473 NV Practitioner - Chiropractic 0042391088 Practice locations: Reno, NV

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Los Angeles College of Chiropractic, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1895 Plumas St
Suite 3
Reno, NV 89509-3384
Phone (775) 322-5389

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Back to Health Unlimited Chiropractor CurrentSince Jan 1, 2023 Accepting new patients
Power Health Chiropractic Inc Chiropractor PastSince Sep 25, 2018 Accepting new patients
South Lyon Health Center, Inc. Past Accepting new patients
Sparks Family Hospital Inc Past Accepting new patients
Community Health Alliance Past Accepting new patients
Prime Healthcare Services - Reno LLC Past Accepting new patients
Mt Grant General Hospital Past Accepting new patients
Back to Health LTD Chiropractor Past Accepting new patients

Locations

3700 Barron Way
#3
Reno, NV 89511
Phone (775) 826-5800

615 Sierra Rose Dr
Ste 2C
Reno, NV 89511
Phone (775) 322-5389

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733270400000",
    "number": "1477631976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 SIERRA ROSE DR STE 2C",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895114009",
            "telephone_number": "775-322-5389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 SIERRA ROSE DR STE 2C",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895114009",
            "telephone_number": "775-322-5389",
            "fax_number": "775-826-8466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVY",
        "first_name": "GLENN",
        "middle_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2024-12-04",
        "certification_date": "2024-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NV",
            "license": "B-535",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GLENN",
            "last_name": "LEVY",
            "middle_name": "RICHARD",
            "credential": "DC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Reno, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2024; 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.