Active NPI
Glen D Philo, DC
- Chiropractor
- Nashua, NH
National Provider Identifier
1851467567
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2740687B
- Practice address
- 76 Northeastern Blvd
Suite 32a
Nashua, NH 03062 - Phone
- (603) 889-0550
- Fax
- (603) 889-0355
- NPI assigned
- Nov 27, 2006
- Sex
- Male
- Sole proprietor
- No
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 | 2740687B | NH | Primary |
Addresses
Primary practice location
76 Northeastern Blvd
Suite 32a
Nashua, NH 03062
Mailing address
76 Northeastern Blvd
Suite 32a
Nashua, NH 03062
Phone (603) 889-0550
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30250158 | Medicaid | NH | |
| 000687 | Other | TUFTS | |
| 52190 | Other | CIGNA | |
| 931603 | Other | AETNA | |
| 0501145Y0NH01 | Other | BCBS | |
| 4404302 | Other | UNITED | |
| NA1719 | Other | HARVARD |
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 |
|---|---|---|---|
| 2740687B | NH | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164585600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1416873600000",
"number": "1851467567",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "76 NORTHEASTERN BLVD",
"address_2": "SUITE 32A",
"city": "NASHUA",
"state": "NH",
"postal_code": "03062",
"telephone_number": "603-889-0550",
"fax_number": "603-889-0355"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "76 NORTHEASTERN BLVD",
"address_2": "SUITE 32A",
"city": "NASHUA",
"state": "NH",
"postal_code": "03062",
"telephone_number": "603-889-0550",
"fax_number": "603-889-0355"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHILO",
"first_name": "GLEN",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-27",
"last_updated": "2014-11-25",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NH",
"license": "2740687B",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30250158",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS",
"identifier": "000687",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "52190",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "931603",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "0501145Y0NH01",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED",
"identifier": "4404302",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD",
"identifier": "NA1719",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Nashua, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.