Active NPI
Glenn Edward Macwhorter, D.C.
- Radiology Chiropractor
- Capitola, CA
National Provider Identifier
1598718629
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiology Chiropractor
- License
- 13598
- Practice address
- 716 Capitola Ave
Capitola, CA 95010-2777 - Phone
- (831) 479-1213
- Fax
- (831) 479-1016
- NPI assigned
- May 18, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiology Chiropractor | 111NR0200X | 13598 | CA | Primary |
Addresses
Primary practice location
716 Capitola Ave
Capitola, CA 95010-2777
Mailing address
1525 Calypso Dr.
Aptos, CA 95003
Phone (831) 479-1213
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Santa Cruz Community Health Centers | Current | Accepting new patients | |
| Santa Cruz Community Health Centers | Current | Accepting new patients |
Locations
250 Locust St
Santa Cruz, CA 95060
Phone (831) 427-3582
21507 E Cliff Dr
Santa Cruz, CA 95062
Phone (510) 520-7299
Organizations & group practices 2
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.
-
dba Santa Cruz Women's Health Center
- Family Medicine Physician
- Santa Cruz, CA
- NPI 1902923329
-
dba Santa Cruz Mountain Health Center 2
- Clinic/Center
- Ben Lomond, CA
- NPI 1386329142
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147910400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1193011200000",
"number": "1598718629",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1525 CALYPSO DR.",
"city": "APTOS",
"state": "CA",
"postal_code": "95003",
"telephone_number": "831-479-1213",
"fax_number": "831-479-1016"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "716 CAPITOLA AVE",
"city": "CAPITOLA",
"state": "CA",
"postal_code": "950102777",
"telephone_number": "831-479-1213",
"fax_number": "831-479-1016"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MACWHORTER",
"first_name": "GLENN",
"middle_name": "EDWARD",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-18",
"last_updated": "2007-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "111NR0200X",
"taxonomy_group": "",
"desc": "Chiropractor, Radiology",
"state": "CA",
"license": "13598",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Capitola, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2007; 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.