Glenn W Weckel DC Inc

Primary specialty

Neurology ChiropractorTaxonomy code 111NN0400X

License

1595 Issued in NC

Legal business name

GLENN W WECKEL DC INC

Practice address

5215 B Market St
Wilmington, NC 28405

Phone

(910) 392-3333

Fax

(910) 392-3365

NPI assigned

Oct 17, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Glenn W Weckel, DCNPI 1659487973

Title

Owner Doctor

Phone

(910) 392-3333

Specialties & licenses 1

Addresses

Other identifiers 4

Other names 1

• Weckel Chiropractic Other name

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Glenn W. Weckel, DC

  • Neurology Chiropractor
  • Wilmington, NC
  • NPI 1659487973
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1740360155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5215 B MARKET ST",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "28405",
            "telephone_number": "910-392-3333",
            "fax_number": "910-392-3365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5215 B MARKET ST",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "28405",
            "telephone_number": "910-392-3333",
            "fax_number": "910-392-3365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLENN W WECKEL DC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WECKEL",
        "authorized_official_first_name": "GLENN",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER DOCTOR",
        "authorized_official_telephone_number": "910-392-3333",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111NN0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Neurology",
            "state": "NC",
            "license": "1595",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8908319",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "08936",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7908936",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "08319",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Weckel Chiropractic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Glencare Assisted Living, Inc Dba (Glencare of Wilmington)
• Chris Rankin Glendenning, O.D.
• Tracey Morette Glendenning, O.D
• Ivey Glendy, AUD
• Adam Daniel Glener, MD
• Meredith Taylor Edgerton Glenn, D.D.S.
• Scott Jason Glickauf, LAT ATC
• Kelly Lee Glisson, NP
• Global Express Transportation Service, LLC
• Susan M Glose, ANP

• Neurology Chiropractor in Wilmington, NC
• Providers in Wilmington, NC by specialty
• Neurology Chiropractor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.