Individual provider Active NPI

Susan Marie Aalborg-Glenn, D.C.

  • Chiropractor
  • Des Moines, IA
National Provider Identifier
1679509681
Registry record updated Mar 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
06823 Issued in IA
Practice address
4503 E 50TH St Ste 600
Des Moines, IA 50317-4729
Phone
(515) 266-1116
NPI assigned
Jun 23, 2006
Last updated
Mar 11, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 11, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 06823 IA Primary
Chiropractor 111N00000X 1432 NE

Addresses

Primary practice location

4503 E 50TH St Ste 600
Des Moines, IA 50317-4729

Mailing address

4503 E 50TH St Ste 600
Des Moines, IA 50317-4729
Phone (515) 266-1116

Other identifiers 1

IdentifierTypeStateIssuer
44190OtherIAWELLMARK

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
06823IAMDChiropractor
1432NEMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Meyer Chiropractic Clinic Chiropractor PastSince Dec 30, 2024 Accepting new patients
Altoona Chiropractic Center PC Chiropractor Past Accepting new patients
Aalborg-Glenn Family Chiropractic Chiropractor PastSince Jan 23, 2013 Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426032000000",
    "number": "1679509681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4503 E 50TH ST STE 600",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503174729",
            "telephone_number": "515-266-1116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4503 E 50TH ST STE 600",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503174729",
            "telephone_number": "515-266-1116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AALBORG-GLENN",
        "first_name": "SUSAN",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-23",
        "last_updated": "2015-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "06823",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NE",
            "license": "1432",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK",
            "identifier": "44190",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Des Moines, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2015; 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.