Active NPI
Andrew G Glaze, D.C.
- Chiropractor
- Gilmer, TX
National Provider Identifier
1770589798
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC5316
- Practice address
- 1026 Titus St
Gilmer, TX 75644-3514 - Phone
- (803) 843-5643
- Fax
- (903) 843-4403
- NPI assigned
- Jun 23, 2005
- Last updated
- Jul 13, 2026
- Sex
- Male
- Sole proprietor
- No
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 | DC5316 | TX | Primary |
Addresses
Primary practice location
1026 Titus St
Gilmer, TX 75644-3514
Mailing address
PO Box 949
Gilmer, TX 75644-0949
Phone (903) 843-5673
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8214226 | Other | TX | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120426000423 | TX | Practitioner - Chiropractic | 8729240304 | Practice locations: Marshall, TX |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 1989
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1026 Titus St
Gilmer, TX 75644-3514
701 N Washington St
Glaze Chiropractic of Marshall
Marshall, TX 75670
Phone (903) 984-8500
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5316 | TX | MD | Behavioral Analyst |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Glaze Chiropractic Clinic | Chiropractor | Current | Accepting new patients |
| Andrew G Glaze | Chiropractor | Past | Accepting new patients |
Locations
1026 Titus St
Gilmer, TX 75644
Phone (214) 843-5643
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Chiropractor
- Gilmer, TX
- NPI 1215934682
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119484800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1770589798",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 949",
"city": "GILMER",
"state": "TX",
"postal_code": "756440949",
"telephone_number": "903-843-5673"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1026 TITUS ST",
"city": "GILMER",
"state": "TX",
"postal_code": "756443514",
"telephone_number": "803-843-5643",
"fax_number": "903-843-4403"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GLAZE",
"first_name": "ANDREW",
"middle_name": "G",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-23",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TX",
"license": "DC5316",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "8214226",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Gilmer, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.