Glen S Cochrane

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

GLEN S COCHRANE

Doing business as

East Desert Inn Wellness

Practice address

1090 East Desert Road
S 102
Las Vegas, NV 89109

Phone

(702) 333-1995

Fax

(702) 333-0602

NPI assigned

Jan 31, 2023

Last updated

Jan 31, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Glen S Cochrane, DC

Title

Owner

Phone

(702) 333-1995

Specialties & licenses 2

Addresses

Other names 1

• EAST DESERT INN WELLNESS Doing business as

Electronic endpoints 1

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

{
    "created_epoch": "1675123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675123200000",
    "number": "1629784855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1090 EAST DESERT ROAD",
            "address_2": "S 102",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89109",
            "telephone_number": "702-333-1995",
            "fax_number": "702-333-0602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1090 EAST DESERT ROAD",
            "address_2": "S 102",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89109",
            "telephone_number": "702-333-1995",
            "fax_number": "702-333-0602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLEN S COCHRANE",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-31",
        "last_updated": "2023-01-31",
        "certification_date": "2023-01-25",
        "status": "A",
        "authorized_official_last_name": "COCHRANE",
        "authorized_official_first_name": "GLEN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-333-1995",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "111NI0013X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Independent Medical Examiner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "yourlasvegaschiropractor.com",
            "affiliation": "N",
            "endpointDescription": "yourlasvegaschiropractor.com",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1090 EAST DESERT ROAD",
            "address_2": "S 102",
            "city": "LAS VEGAS",
            "state": "NV",
            "country_code": "US",
            "postal_code": "89109",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "EAST DESERT INN WELLNESS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• GLC Wellness Center LLC
• GLC Wellness Center LLC
• GLC Wellness Center LLC
• Glee Health Medical Institute Nevada LLC
• Glen J Hime, M.D., PC
• Natasha Glenboski
• Glenn E. Hurst DDS a Professional Corporation (Hurst Family Dental)
• Glenn K. Roter, OD, a Professional Corporation
• Delores Glenn-Lewis
• Maria Pualani Glenn-Sullivan

• Chiropractor in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Chiropractor in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2023; 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.