Eric Glenn, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC 31900 Issued in CA

Practice address

480 S California Ave
Ste 103
Palo Alto, CA 94306-1623

Phone

(650) 321-7193

NPI assigned

Aug 6, 2012

Sex

Male

Sole proprietor

No

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

Enrolled in CA

Enrollment records 1

Specialty

Chiropractic

Education

Life Chiropractic College - West, 2010

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Glenn Enterprises - a Chiropractic Corporation

  • Chiropractor
  • Palo Alto, CA
  • NPI 1629337456
  Medicare reassignment Authorized official
• Integrated Health Care

  • Chiropractor
  • Palo Alto, CA
  • NPI 1114141199
  NPD (past)

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

{
    "created_epoch": "1344211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344211200000",
    "number": "1790032068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1807D SANTA RITA RD # 128",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945664725",
            "telephone_number": "510-397-7463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "480 S CALIFORNIA AVE",
            "address_2": "STE 103",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943061623",
            "telephone_number": "650-321-7193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLENN",
        "first_name": "ERIC",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-08-06",
        "last_updated": "2012-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC 31900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gregory Glasscock, MD
• Andria Rae Glasser Das, PSY.D.
• John Parsons Glathe
• Amy Glazer, NP
• Glenn Enterprises - a Chiropractic Corporation
• Robert Theodore Glenn, PHARM.D.
• Giancarlo Grimando Glick, MD
• Judith Gail Glinder, PH.D.
• Kellen Glinder, MD
• Dennis Arlin Glover, LVN

• Chiropractor in Palo Alto, CA
• Providers in Palo Alto, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2012; 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.