Kevin Scott Glenn, D.C.,DABCO

Primary specialty

Orthopedic ChiropractorTaxonomy code 111NX0800X

License

DC16390 Issued in CA

Practice address

23341 Golden Springs Dr Ste 202
Diamond Bar, CA 91765-2054

Phone

(909) 860-0148

Fax

(909) 860-9348

NPI assigned

Jul 12, 2006

Last updated

Jul 9, 2007By the provider in NPPES

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

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.

• Amar Medical Group Inc

  • Internal Medicine Physician
  • Diamond Bar, CA
  • NPI 1457540460
  NPD (past)
• Dr Ekta Sharma MD MPH Inc

  dba Sharma Medical Clinic

  • Family Medicine Physician
  • Diamond Bar, CA
  • NPI 1750928297
  NPD (past)
• Southern California University of Health Sciences

  • Chiropractor
  • Whittier, CA
  • NPI 1881764322
  NPD (past)

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1801811005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23341 GOLDEN SPRINGS DR STE 202",
            "city": "DIAMOND BAR",
            "state": "CA",
            "postal_code": "917652054",
            "telephone_number": "909-860-0148",
            "fax_number": "909-860-9348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23341 GOLDEN SPRINGS DR STE 202",
            "city": "DIAMOND BAR",
            "state": "CA",
            "postal_code": "917652054",
            "telephone_number": "909-860-0148",
            "fax_number": "909-860-9348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLENN",
        "first_name": "KEVIN",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "D.C.,DABCO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NX0800X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Orthopedic",
            "state": "CA",
            "license": "DC16390",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia Danielah Germon, MA
• Kunal Ghosh
• Sangram Gill
• Alyssa M Givehand
• Glenn Chang DDS Inc
• Global Mother Care Group Inc
• Golden Springs Pharmacy Inc. (JJ's Pharmacy)
• Gong Pharmacist Professional Corporation (Complete Care Compounding Pharmacy)
• Veronica Angelina Gonzalez
• Amy Melissa Goodson

• Orthopedic Chiropractor in Diamond Bar, CA
• Providers in Diamond Bar, CA by specialty
• Orthopedic Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.