Organization Active NPI

Glenn Enterprises - a Chiropractic Corporation

  • Chiropractor
  • Palo Alto, CA
National Provider Identifier
1629337456
Registry record updated Nov 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC 31900 Issued in CA
Legal business name
GLENN ENTERPRISES - A CHIROPRACTIC CORPORATION
Practice address
480 California Ave.
#103
Palo Alto, CA 94306
Phone
(650) 321-7193
Fax
(877) 763-3234
NPI assigned
May 14, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2025

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

Authorized official

Name
Dr. Eric Glenn, D.C.NPI 1790032068
Title
President
Phone
(650) 321-7193

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X DC 31900 CA Primary

Addresses

Primary practice location

480 California Ave.
#103
Palo Alto, CA 94306

Mailing address

480 California Ave.
#103
Palo Alto, CA 94306
Phone (650) 321-7193

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160425002568 CA Part B Supplier - Clinic/Group Practice 4183923162 Receives reassigned benefits from 2 practitioners
Practice locations: Palo Alto, CA

National Provider Directory

National Provider Directory

Locations

480 California Ave
Ste 103
Palo Alto, CA 94306
Phone (650) 321-7193

1807 Santa Rita Rd
Ste D
Pleasanton, CA 94566
Phone (925) 846-2225

Practitioners & affiliated clinicians

Practitioners 5

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

NPI Registry JSON

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

{
    "created_epoch": "1336953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763683200000",
    "number": "1629337456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "480 CALIFORNIA AVE.",
            "address_2": "#103",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "94306",
            "telephone_number": "650-321-7193",
            "fax_number": "877-763-3234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "480 CALIFORNIA AVE.",
            "address_2": "#103",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "94306",
            "telephone_number": "650-321-7193",
            "fax_number": "877-763-3234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLENN ENTERPRISES - A CHIROPRACTIC CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-14",
        "last_updated": "2025-11-21",
        "certification_date": "2025-11-21",
        "status": "A",
        "authorized_official_last_name": "GLENN",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "650-321-7193",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC 31900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palo Alto, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2025; 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.