Tacss PLLC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

DR47517 Issued in CO

Legal business name

TACSS PLLC

Practice address

10103 Ridgegate Pkwy Ste 211
Lone Tree, CO 80124-5525

Phone

(720) 820-9455

Fax

(303) 736-4226

NPI assigned

Feb 9, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Jacquelyn Kay Glenn, MDNPI 1831272822

Title

Owner

Phone

(720) 820-9455

Specialties & licenses 1

Addresses

Other names 1

• Caraid Corporation Other name

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Practitioners 1

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

• Jacquelyn Kay Glenn, MD

  • Surgery Physician
  • Lone Tree, CO
  • NPI 1831272822
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1423440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674432000000",
    "number": "1578954822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14100 E ARAPAHOE RD STE 260",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801124048",
            "telephone_number": "303-699-3048",
            "fax_number": "303-699-3047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10103 RIDGEGATE PKWY STE 211",
            "city": "LONE TREE",
            "state": "CO",
            "postal_code": "801245525",
            "telephone_number": "720-820-9455",
            "fax_number": "303-736-4226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TACSS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-09",
        "last_updated": "2023-01-23",
        "certification_date": "2023-01-23",
        "status": "A",
        "authorized_official_last_name": "GLENN",
        "authorized_official_first_name": "JACQUELYN",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "720-820-9455",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "CO",
            "license": "DR47517",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Caraid Corporation",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• William Basil Swad, PA
• Tammy Swagler, NP
• Swedish Porter Ekg Interpretation Service
• SZ Therapies
• Edward S Szuszczewicz, MD
• Nathaniel Tak
• Richard Talbot
• Tammi H. Schaeffer, DO PC
• Tracy Tang
• Tanya Atagi, MD Professional LLC

• Surgery Physician in Lone Tree, CO
• Providers in Lone Tree, CO by specialty
• Surgery Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.