Individual provider Active NPI

Glenn Vicente Quintana, DC

  • Chiropractor
  • Miami, FL
National Provider Identifier
1679627194
Registry record updated Feb 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH6296 Issued in FL
Practice address
8955 SW 87TH CT Ste 101
Miami, FL 33176-2264
Phone
(305) 670-9313
Fax
(305) 670-9313
NPI assigned
Jan 22, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH6296 FL Primary

Addresses

Primary practice location

8955 SW 87TH CT Ste 101
Miami, FL 33176-2264

Mailing address

8955 SW 87TH CT Ste 101
Miami, FL 33176-2264
Phone (305) 670-9313

Other practice location 1

709 E 9th St
Hialeah, FL 33010-4553
Phone (305) 681-2013

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120627000759 FL Practitioner - Chiropractic 0840455796 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Western States College of Chiropractic, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

8955 SW 87 Court
Suite 101
Miami, FL 33176-2264
Phone (305) 670-9313

8955 SW 87TH CT
Suite 101
Miami, FL 33176-2264

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Glenn V. Quintana D.C., P.a. Chiropractor CurrentSince May 1, 1991 Accepting new patients

Locations

709 E 9th St
Hialeah, FL 33010
Phone (305) 681-2013

9406 S Dixie Hwy
Miami, FL 33156
Phone (305) 670-9313

8955 SW 87th Ct
Ste 101
Miami, FL 33176
Phone (305) 233-5700

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": "1169424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580774400000",
    "number": "1679627194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8955 SW 87TH CT STE 101",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331762264",
            "telephone_number": "305-670-9313",
            "fax_number": "305-670-9313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8955 SW 87TH CT STE 101",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331762264",
            "telephone_number": "305-670-9313",
            "fax_number": "305-670-9313"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "709 E 9th St",
            "address_purpose": "LOCATION",
            "city": "Hialeah",
            "state": "FL",
            "postal_code": "330104553",
            "country_code": "US",
            "telephone_number": "305-681-2013",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "QUINTANA",
        "first_name": "GLENN",
        "middle_name": "VICENTE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-22",
        "last_updated": "2020-02-04",
        "certification_date": "2020-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH6296",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2020; 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.