Active NPI
James N Glenn, M.D.
- Orthopaedic Surgery Physician
- Emporia, KS
National Provider Identifier
1699778092
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 04-14326
- Practice address
- 1301 W 12TH Ave
Ste 105
Emporia, KS 66801-2588 - Phone
- (620) 343-1191
- Fax
- (620) 343-3139
- NPI assigned
- May 31, 2005
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 04-14326 | KS | Primary |
Addresses
Primary practice location
1301 W 12TH Ave
Ste 105
Emporia, KS 66801-2588
Mailing address
1130 Oxford Drive
Emporia, KS 66801
Phone (620) 343-1508
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 04-14326 | KS | MD | Orthopaedic Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1117497600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1335484800000",
"number": "1699778092",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1130 OXFORD DRIVE",
"city": "EMPORIA",
"state": "KS",
"postal_code": "66801",
"telephone_number": "620-343-1508",
"fax_number": "620-343-3139"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1301 W 12TH AVE",
"address_2": "STE 105",
"city": "EMPORIA",
"state": "KS",
"postal_code": "668012588",
"telephone_number": "620-343-1191",
"fax_number": "620-343-3139"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GLENN",
"first_name": "JAMES",
"middle_name": "N",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-05-31",
"last_updated": "2012-04-27",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "KS",
"license": "04-14326",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Emporia, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.