Individual provider Active NPI

Michael J Glandorf, D.C.

  • Chiropractor
  • Orange, CA
National Provider Identifier
1659479186
Registry record updated Aug 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC19467 Issued in CA
Practice address
1111 W Town and Country Rd
Suite 6
Orange, CA 92868-4615
Phone
(714) 667-6831
Fax
(714) 569-0463
NPI assigned
Sep 20, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 5, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC19467 CA Primary

Addresses

Primary practice location

1111 W Town and Country Rd
Suite 6
Orange, CA 92868-4615

Mailing address

1111 W Town and Country Rd
Suite 6
Orange, CA 92868-4615
Phone (714) 667-6831

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081222000049 CA Practitioner - Chiropractic 4981766342 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Los Angeles College of Chiropractic, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1111 W Town and Country Rd
Suite 6
Orange, CA 92868-4635
Phone (714) 667-6831

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC19467CAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Glandorf Chiropractic Corporation Chiropractor CurrentSince Feb 15, 1998 Accepting new patients

Locations

1111 W Town and Country Rd
Ste 6
Orange, CA 92868
Phone (714) 542-3662

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": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659657600000",
    "number": "1659479186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 W TOWN AND COUNTRY RD",
            "address_2": "SUITE 6",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928684615",
            "telephone_number": "714-667-6831",
            "fax_number": "714-569-0463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 W TOWN AND COUNTRY RD",
            "address_2": "SUITE 6",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928684615",
            "telephone_number": "714-667-6831",
            "fax_number": "714-569-0463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLANDORF",
        "first_name": "MICHAEL",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2022-08-05",
        "certification_date": "2022-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC19467",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2022; 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.