Active NPI
Emmalene Faith Glover, DC
- Chiropractor
- Ballwin, MO
National Provider Identifier
1679135628
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2019005952
- Practice address
- 245 Sweetcreek Dr Apt C
Ballwin, MO 63021-4860 - Phone
- (636) 233-7209
- NPI assigned
- Jun 30, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2019005952 | MO | Primary |
Addresses
Primary practice location
245 Sweetcreek Dr Apt C
Ballwin, MO 63021-4860
Mailing address
245 Sweetcreek Dr Apt C
Ballwin, MO 63021-4860
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | SimplePractice |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2019005952 | MO | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1561852800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1561852800000",
"number": "1679135628",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "245 SWEETCREEK DR APT C",
"city": "BALLWIN",
"state": "MO",
"postal_code": "630214860"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "245 SWEETCREEK DR APT C",
"city": "BALLWIN",
"state": "MO",
"postal_code": "630214860",
"telephone_number": "636-233-7209"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GLOVER",
"first_name": "EMMALENE",
"middle_name": "FAITH",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-06-30",
"last_updated": "2019-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MO",
"license": "2019005952",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "SimplePractice",
"affiliation": "N",
"address_1": "245 Sweetcreek Dr Apt C",
"city": "Ballwin",
"state": "MO",
"country_code": "US",
"postal_code": "630214860",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Ballwin, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.