Organization Active NPI

Thomas N Glow DPM PC

  • Podiatrist
  • Sierra Vista, AZ
National Provider Identifier
1821189416
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
87 Issued in AZ
Legal business name
THOMAS N GLOW DPM PC
Practice address
3965 Foothills Dr
Ste B
Sierra Vista, AZ 85635
Phone
(520) 458-6838
Fax
(520) 458-0373
NPI assigned
Sep 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Thomas N Glow, DPM PC
Title
President
Phone
(520) 458-6838

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X 87 AZ Primary

Addresses

Primary practice location

3965 Foothills Dr
Ste B
Sierra Vista, AZ 85635

Mailing address

3965 Foothills Dr
Ste B
Sierra Vista, AZ 85635
Phone (520) 458-6838

National Provider Directory

National Provider Directory

Locations

3965 E Foothills Dr
Ste B
Sierra Vista, AZ 85635
Phone (520) 458-6838

NPI Registry JSON

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1821189416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3965 FOOTHILLS DR",
            "address_2": "STE B",
            "city": "SIERRA VISTA",
            "state": "AZ",
            "postal_code": "85635",
            "telephone_number": "520-458-6838",
            "fax_number": "520-458-0373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3965 FOOTHILLS DR",
            "address_2": "STE B",
            "city": "SIERRA VISTA",
            "state": "AZ",
            "postal_code": "85635",
            "telephone_number": "520-458-6838",
            "fax_number": "520-458-0373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS N GLOW DPM PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GLOW",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "520-458-6838",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM   PC"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "AZ",
            "license": "87",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sierra Vista, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.