Douglas Clinton Glenn, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC011811 Issued in PA

Practice address

260 McElwain LN
New Castle, PA 16101-8362

Phone

(412) 915-3784

NPI assigned

Jan 26, 2023

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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 and National Provider Directory roles.

• Active Chiropractic and Rehabilitation, LLC

  • Sports Physician Chiropractor
  • Murrysville, PA
  • NPI 1356736334
  NPD

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

{
    "created_epoch": "1674691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674691200000",
    "number": "1740996461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 MCELWAIN LN",
            "city": "NEW CASTLE",
            "state": "PA",
            "postal_code": "161018362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 MCELWAIN LN",
            "city": "NEW CASTLE",
            "state": "PA",
            "postal_code": "161018362",
            "telephone_number": "412-915-3784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLENN",
        "first_name": "DOUGLAS",
        "middle_name": "CLINTON",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-01-26",
        "last_updated": "2023-01-26",
        "certification_date": "2023-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC011811",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• George E Watters III DMD
• Larry Michael George, LMT
• Anthony J Geramita, DC
• Giant Eagle Inc
• William Northwood Gilleland Jr., M.D.
• Shirley Goehring, RN
• Golden Hill Nursing and Rehab LP
• Golden Hill Nursing Home, Inc.
• Gerard Christopher Golub
• Andrew Jordan Gonzales

• Chiropractor in New Castle, PA
• Providers in New Castle, PA by specialty
• Chiropractor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2023; 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.