Organization Active NPI

Stephanie Glover Chiropractic Inc

  • Chiropractor
  • San Clemente, CA
National Provider Identifier
1902500408
Registry record updated Mar 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
STEPHANIE GLOVER CHIROPRACTIC INC
Practice address
1502 N El Camino Real
San Clemente, CA 92672-5906
Phone
(949) 498-6440
Fax
(949) 498-6441
NPI assigned
Mar 28, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2023

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

Authorized official

Name
Stephanie Chen Glover, DCNPI 1801398466
Title
Owner
Phone
(714) 271-5240

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

1502 N El Camino Real
San Clemente, CA 92672-5906

Mailing address

31042 Paseo Valencia
San Juan Capistrano, CA 92675-2949
Phone (714) 271-5240

Other names 1

  • Golden Hour Chiropractic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230519002059 CA Part B Supplier - Clinic/Group Practice 8022474865 Receives reassigned benefits from 1 practitioner
Practice locations: San Clemente, CA

National Provider Directory

National Provider Directory

Locations

1502 N El Camino Real
Ste A
San Clemente, CA 92672
Phone (949) 498-6440

1502 N El Camino Real
San Clemente, CA 92672
Phone (949) 498-6440

Practitioners & affiliated clinicians

Practitioners 5

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

NPI Registry JSON

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

{
    "created_epoch": "1679961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679961600000",
    "number": "1902500408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31042 PASEO VALENCIA",
            "city": "SAN JUAN CAPISTRANO",
            "state": "CA",
            "postal_code": "926752949",
            "telephone_number": "714-271-5240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1502 N EL CAMINO REAL",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926725906",
            "telephone_number": "949-498-6440",
            "fax_number": "949-498-6441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHANIE GLOVER CHIROPRACTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-28",
        "last_updated": "2023-03-28",
        "certification_date": "2023-03-28",
        "status": "A",
        "authorized_official_last_name": "GLOVER",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "CHEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-271-5240",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Golden Hour Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Clemente, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.