Glas Chiropractic S.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

042619123 Issued in IL

Legal business name

GLAS CHIROPRACTIC S.C.

Doing business as

Glas Chiropractic

Practice address

1415 W Riverview Dr
East Peoria, IL 61611-9647

Phone

(309) 453-7607

NPI assigned

Sep 5, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Bret Byron Glas, D.C.

Title

Principal Officer

Phone

(309) 453-7607

Specialties & licenses 1

Addresses

Other names 1

• Glas Chiropractic Doing business as

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Robert Daniel Kelch

  • Chiropractor
  • Peoria, IL
  • NPI 1023240934
  NPD (past)
• Scot L Varness, D.C.

  • Chiropractor
  • Peoria, IL
  • NPI 1295805349
  NPD (past)

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

{
    "created_epoch": "1188950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340582400000",
    "number": "1861686503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1415 W RIVERVIEW DR",
            "city": "EAST PEORIA",
            "state": "IL",
            "postal_code": "616119647",
            "telephone_number": "309-453-7607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 W RIVERVIEW DR",
            "city": "EAST PEORIA",
            "state": "IL",
            "postal_code": "616119647",
            "telephone_number": "309-453-7607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLAS CHIROPRACTIC S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-05",
        "last_updated": "2012-06-25",
        "status": "A",
        "authorized_official_last_name": "GLAS",
        "authorized_official_first_name": "BRET",
        "authorized_official_middle_name": "BYRON",
        "authorized_official_title_or_position": "PRINCIPAL OFFICER",
        "authorized_official_telephone_number": "309-453-7607",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "042619123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Glas Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Katrina Renee Gelhausen, M.S. CCC/SLP
• Generations at Riverview Senior Living
• Generations at Riverview, LLC
• Jerri Jean Genovese, MSW, LCSW, CADC
• Miranda Gilliam
• Eduardo Daniel Gonzalez, DDS
• Grace Gould
• James T Gray, DDS
• Lori L Griffin, P.T.
• Perri Marie Grimm

• Chiropractor in East Peoria, IL
• Providers in East Peoria, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2012; 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.