Engineered Per4Mance, Inc.

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

License

007738 Issued in IA

Legal business name

ENGINEERED PER4MANCE, INC.

Practice address

1711 SW Plaza Pkwy
Ankeny, IA 50023

Phone

(515) 964-2322

NPI assigned

Aug 5, 2015

Organization subpart

No

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

Authorized official

Name

Joseph Glenn, DCNPI 1851793087

Title

Co-Owner

Phone

(515) 964-2322

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Joseph Glenn, D.C.

  • Sports Physician Chiropractor
  • Ankeny, IA
  • NPI 1851793087
  NPD Authorized official

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

{
    "created_epoch": "1438732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438732800000",
    "number": "1497131007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1711 SW PLAZA PKWY",
            "city": "ANKENY",
            "state": "IA",
            "postal_code": "50023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1711 SW PLAZA PKWY",
            "city": "ANKENY",
            "state": "IA",
            "postal_code": "50023",
            "telephone_number": "515-964-2322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENGINEERED PER4MANCE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-05",
        "last_updated": "2015-08-05",
        "status": "A",
        "authorized_official_last_name": "GLENN",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "515-964-2322",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Sports Physician",
            "state": "IA",
            "license": "007738",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Sports Physician Chiropractor in Ankeny, IA
• Providers in Ankeny, IA by specialty
• Sports Physician Chiropractor in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2015; 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.