John Kenneth Glade III, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

6206 Issued in CO

Practice address

720 S Colorado Blvd
162A
Glendale, CO 80246-1904

Phone

(303) 758-3395

Fax

(303) 758-5140

NPI assigned

Sep 15, 2008

Last updated

Sep 15, 2008By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Jake Glade Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1221436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221436800000",
    "number": "1700035763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10340 W 107TH CIR",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "800213616",
            "telephone_number": "303-968-5948",
            "fax_number": "303-758-5140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 S COLORADO BLVD",
            "address_2": "162A",
            "city": "GLENDALE",
            "state": "CO",
            "postal_code": "802461904",
            "telephone_number": "303-758-3395",
            "fax_number": "303-758-5140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLADE",
        "first_name": "JOHN",
        "middle_name": "KENNETH",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-09-15",
        "last_updated": "2008-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "6206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAKE",
            "last_name": "GLADE",
            "prefix": "DR.",
            "credential": "DC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Chiropractor in Glendale, CO
• Providers in Glendale, CO by specialty
• Chiropractor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2008; 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.