Individual provider Active NPI

Beverly Larosa Glinsky, D.C.

  • Rehabilitation Chiropractor
  • Midwest City, OK
National Provider Identifier
1669650412
Registry record updated Jun 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
License
3868 Issued in OK
Practice address
1712 S Post Rd
Ste B
Midwest City, OK 73130-6613
Phone
(405) 455-7555
Fax
(405) 455-7556
NPI assigned
Feb 4, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Chiropractor 111NR0400X 3868 OK Primary

Addresses

Primary practice location

1712 S Post Rd
Ste B
Midwest City, OK 73130-6613

Mailing address

1712 S Post Rd
Ste B
Midwest City, OK 73130-6613
Phone (405) 455-7555

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
3868OKMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Chiropractic and Rehabilitation Clinic P L L C Rehabilitation PastSince May 1, 2008 Accepting new patients

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": "1202083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276732800000",
    "number": "1669650412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1712 S POST RD",
            "address_2": "STE B",
            "city": "MIDWEST CITY",
            "state": "OK",
            "postal_code": "731306613",
            "telephone_number": "405-455-7555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1712 S POST RD",
            "address_2": "STE B",
            "city": "MIDWEST CITY",
            "state": "OK",
            "postal_code": "731306613",
            "telephone_number": "405-455-7555",
            "fax_number": "405-455-7556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLINSKY",
        "first_name": "BEVERLY",
        "middle_name": "LAROSA",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-04",
        "last_updated": "2010-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "OK",
            "license": "3868",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midwest City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2010; 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.