Individual provider Active NPI

Jeffrey Neil Glover, D.C.

  • Chiropractor
  • Leesburg, FL
National Provider Identifier
1770720187
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH9649 Issued in FL
Practice address
312 N 14TH St
Leesburg, FL 34748-4824
Phone
(352) 787-9995
Fax
(352) 787-9997
NPI assigned
Jan 8, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH9649 FL Primary

Addresses

Primary practice location

312 N 14TH St
Leesburg, FL 34748-4824

Mailing address

312 N 14TH St
Leesburg, FL 34748-4824
Phone (352) 787-9995

Other practice location 1

1585 Santa Barbara Blvd
Suite A
Lady Lake, FL 32159-6820
Phone (352) 430-2121

Other identifiers 1

IdentifierTypeStateIssuer
006730500MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100127000842 FL Practitioner - Chiropractic 3870635931 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

312 N 14TH St
Leesburg, FL 34748-4824
Phone (352) 787-9995

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH9649FLMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Glover Chiropractic Clinic LLC Chiropractor CurrentSince Oct 21, 2012 Accepting new patients
Greater Orlando Chiropractic and Wellness Incorporated Chiropractor CurrentSince Jun 8, 2022 Accepting new patients

Locations

312 N 14th St
Leesburg, FL 34748
Phone (352) 787-9995

1993 Daniels Rd
Ste 110
Winter Garden, FL 34787
Phone (407) 395-8632

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1231372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1770720187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 N 14TH ST",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347484824",
            "telephone_number": "352-787-9995",
            "fax_number": "352-787-9997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 N 14TH ST",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347484824",
            "telephone_number": "352-787-9995",
            "fax_number": "352-787-9997"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1585 Santa Barbara Blvd",
            "address_2": "Suite A",
            "address_purpose": "LOCATION",
            "city": "Lady Lake",
            "state": "FL",
            "postal_code": "321596820",
            "country_code": "US",
            "telephone_number": "352-430-2121",
            "fax_number": "352-430-2203",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GLOVER",
        "first_name": "JEFFREY",
        "middle_name": "NEIL",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-01-08",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH9649",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006730500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Leesburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.