Individual provider Active NPI

Glenn Scott Krapels, D.C.

  • Chiropractor
  • West Paterson, NJ
National Provider Identifier
1629016712
Registry record updated Jun 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC00238500 Issued in NJ
Practice address
401 Mount Pleasant Ave
West Paterson, NJ 07424-2660
Phone
(973) 785-4411
Fax
(973) 785-3164
NPI assigned
Jun 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 38MC00238500 NJ Primary

Addresses

Primary practice location

401 Mount Pleasant Ave
West Paterson, NJ 07424-2660

Mailing address

401 Mount Pleasant Ave
West Paterson, NJ 07424-2660
Phone (973) 785-4411

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080617000439 NJ Practitioner - Chiropractic 5698846764 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College - West, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

401 Mount Pleasant Ave
West Paterson, NJ 07424-2660

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
West Paterson Family Chiropractic Center Chiropractor CurrentSince Nov 12, 1983 Accepting new patients

Locations

401 Mount Pleasant Ave
Woodland Park, NJ 07424
Phone (973) 785-4411

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213920000000",
    "number": "1629016712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 MOUNT PLEASANT AVE",
            "city": "WEST PATERSON",
            "state": "NJ",
            "postal_code": "074242660",
            "telephone_number": "973-785-4411",
            "fax_number": "973-785-3164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 MOUNT PLEASANT AVE",
            "city": "WEST PATERSON",
            "state": "NJ",
            "postal_code": "074242660",
            "telephone_number": "973-785-4411",
            "fax_number": "973-785-3164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRAPELS",
        "first_name": "GLENN",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-02",
        "last_updated": "2008-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00238500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Paterson, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2008; 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.