JJ Gliedt PLLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

15955 Issued in AR

Legal business name

JJ GLIEDT PLLC

Practice address

3900 N Parkview Dr
Suite 203
Fayetteville, AR 72703-6398

Phone

(479) 586-5474

NPI assigned

Mar 28, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Jordan Gliedt, DC

Title

Chiropractic Physician

Phone

(479) 586-5474

Specialties & licenses 1

Addresses

Other names 1

• NWA SPINE AND JOINT Doing business as

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

{
    "created_epoch": "1332892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332892800000",
    "number": "1700152303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3900 N PARKVIEW DR",
            "address_2": "SUITE 203",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727036398",
            "telephone_number": "479-586-5474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 N PARKVIEW DR",
            "address_2": "SUITE 203",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727036398",
            "telephone_number": "479-586-5474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JJ GLIEDT PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-28",
        "last_updated": "2012-03-28",
        "status": "A",
        "authorized_official_last_name": "GLIEDT",
        "authorized_official_first_name": "JORDAN",
        "authorized_official_title_or_position": "CHIROPRACTIC PHYSICIAN",
        "authorized_official_telephone_number": "479-586-5474",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "AR",
            "license": "15955",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NWA SPINE AND JOINT",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jesse R Gray DDS PA
• Christina Jibke-Seese
• Jim Sharp MD
• Berenice Jimenez King, DO
• Lauren Jindracek, PHARMD
• JKL Counseling & Consulting, PLLC
• Natalie Renee Jobe, APRN-CNP
• Joe Horton Faimly Eye Care, PA
• Joe Horton Family Eye Care, PA
• Sarah Lewis Johanson, RD

• Chiropractor in Fayetteville, AR
• Providers in Fayetteville, AR by specialty
• Chiropractor in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 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.

Verify at the official NPI Registry.