Lance Matthew Glaser, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3497 Issued in MN

Practice address

8619 West PT Douglas Rd
Suite 110
Cottage Grove, MN 55016-3389

Phone

(651) 458-0094

Fax

(651) 251-2273

NPI assigned

Feb 27, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Specialty

Chiropractic

Education

Northwestern College of Chiropractic, 1997

Medicare assignment

May accept Medicare assignment

Group practices

Eagan Family Chiropractic and MassageGroup PAC ID 7416133509, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Eagan Family Chiropractic & Massage

  • Chiropractor
  • Eagan, MN
  • NPI 1851692289
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1699801076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8619 WEST PT DOUGLAS RD",
            "address_2": "SUITE 110",
            "city": "COTTAGE GROVE",
            "state": "MN",
            "postal_code": "550163389",
            "telephone_number": "651-458-0094",
            "fax_number": "651-251-2273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8619 WEST PT DOUGLAS RD",
            "address_2": "SUITE 110",
            "city": "COTTAGE GROVE",
            "state": "MN",
            "postal_code": "550163389",
            "telephone_number": "651-458-0094",
            "fax_number": "651-251-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLASER",
        "first_name": "LANCE",
        "middle_name": "MATTHEW",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "3497",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "530PZGL",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHIRO CARE",
            "identifier": "606280",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Angela Gallagher, MSW, LICSW
• Robert John Garrick, RN
• Huriya L Gerba, DIRECTOR
• Ross Gildow
• Catherine Gillis O'Neill, MST/CCC-SLP
• Golden Star Residential Care LLC
• Ryan Gordon, PHARMD
• Grand St Paul CVS LLC (CVS Pharmacy #16189)
• Green Cross Chiropractic, P.a.
• Myron B Green

• Chiropractor in Cottage Grove, MN
• Providers in Cottage Grove, MN by specialty
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.