Active NPI
Douglas Wayne Gleasman, D.O.
- Chiropractor
- Clinton, NY
National Provider Identifier
1770503740
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- X007257-1
- Practice address
- 129 Utica Rd
Clinton, NY 13323-1516 - Phone
- (315) 853-4000
- Fax
- (315) 853-4000
- NPI assigned
- Jul 20, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | X007257-1 | NY | Primary |
Addresses
Primary practice location
129 Utica Rd
Clinton, NY 13323-1516
Mailing address
129 Utica Road
Clinton, NY 13323
Phone (315) 853-4000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| X007257-1 | NY | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153353600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1291161600000",
"number": "1770503740",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "129 UTICA ROAD",
"city": "CLINTON",
"state": "NY",
"postal_code": "13323",
"telephone_number": "315-853-4000",
"fax_number": "315-853-4000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "129 UTICA RD",
"city": "CLINTON",
"state": "NY",
"postal_code": "133231516",
"telephone_number": "315-853-4000",
"fax_number": "315-853-4000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GLEASMAN",
"first_name": "DOUGLAS",
"middle_name": "WAYNE",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-20",
"last_updated": "2010-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NY",
"license": "X007257-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clinton, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.