Active NPI
Richard Dale Glessing, DC
- Chiropractor
- Ashland, WI
National Provider Identifier
1801931373
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1567-012
- Practice address
- 1219 Main St W
Ashland, WI 54806-1202 - Phone
- (715) 682-4033
- Fax
- (715) 682-4033
- NPI assigned
- Feb 21, 2007
- 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 | 1567-012 | WI | Primary |
Addresses
Primary practice location
1219 Main St W
Ashland, WI 54806-1202
Mailing address
1219 Main St W
Ashland, WI 54806-1202
Phone (715) 682-4033
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 38766200 | Medicaid | WI | |
| 391517596014 | Other | WI | ANTHEM |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1567-012 | WI | MD | Chiropractor |
| 1567 | WI | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172016000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1546560000000",
"number": "1801931373",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1219 MAIN ST W",
"city": "ASHLAND",
"state": "WI",
"postal_code": "548061202",
"telephone_number": "715-682-4033",
"fax_number": "715-682-4033"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1219 MAIN ST W",
"city": "ASHLAND",
"state": "WI",
"postal_code": "548061202",
"telephone_number": "715-682-4033",
"fax_number": "715-682-4033"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GLESSING",
"first_name": "RICHARD",
"middle_name": "DALE",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-21",
"last_updated": "2019-01-04",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WI",
"license": "1567-012",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "38766200",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "391517596014",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Ashland, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.