Glen Peter Oemcke, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

992 Issued in CT

Practice address

10 Main St S
Southbury, CT 06488-2260

Phone

(203) 267-4464

Fax

(203) 267-4468

NPI assigned

Sep 12, 2006

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

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Specialty

Chiropractic

Education

New York Chiropractic College, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Oemcke Chiropractic/Acupuncture Center,LLC

  • Chiropractor
  • Southbury, CT
  • NPI 1215117486
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1158019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708300800000",
    "number": "1700980331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 MAIN ST S",
            "city": "SOUTHBURY",
            "state": "CT",
            "postal_code": "064882260",
            "telephone_number": "203-267-4464",
            "fax_number": "203-267-4468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 MAIN ST S",
            "city": "SOUTHBURY",
            "state": "CT",
            "postal_code": "064882260",
            "telephone_number": "203-267-4464",
            "fax_number": "203-267-4468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OEMCKE",
        "first_name": "GLEN",
        "middle_name": "PETER",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-12",
        "last_updated": "2024-02-19",
        "certification_date": "2024-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CT",
            "license": "992",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly O'Connor, LMFT
• Elisabeth O'Dell
• Amy I O'Donnell, M.D.
• Odin de Los Reyes DPM Inc
• Oemcke Chiropractic/Acupuncture Center,LLC
• Paolo Olcese, MD
• Old Oak Primary Care, P.C.
• Opticare Eye Health Centers, Inc.
• Optimum Performance Therapeutic Massage & Bodywork LLC
• Orthoconnecticut, PLLC

• Chiropractor in Southbury, CT
• Providers in Southbury, CT by specialty
• Chiropractor in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2024; 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.