NPIMap

Individual provider Active NPI

Robert Glavan, D.C.

  • Chiropractor
  • Sandusky, MI
National Provider Identifier
1962650929
Registry record updated Sep 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301007192 Issued in MI
Practice address
454 W Sanilac Rd
Sandusky, MI 48471-1065
Phone
(810) 648-8000
Fax
(810) 648-9887
NPI assigned
Sep 3, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 3, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2301007192 MI Primary

Addresses

Primary practice location

454 W Sanilac Rd
Sandusky, MI 48471-1065

Mailing address

454 W Sanilac Rd
P.O. Box 289
Sandusky, MI 48471-1065
Phone (810) 648-8000

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

Practice roles

OrganizationSpecialtyStatusNew patients
Corporate Health Solutions Chiropractor Past Accepting new patients
Robert H Goeckel DC LLC Chiropractor PastSince Jun 1, 2013 Accepting new patients
Michigan Chiropractic Specialists of Waterford, P.C. Chiropractor Past Accepting new patients
Kern Chiropractic Center Chiropractor Past Accepting new patients

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1220400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1220400000000",
    "number": "1962650929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "454 W SANILAC RD",
            "address_2": "P.O. BOX 289",
            "city": "SANDUSKY",
            "state": "MI",
            "postal_code": "484711065",
            "telephone_number": "810-648-8000",
            "fax_number": "810-648-9887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "454 W SANILAC RD",
            "city": "SANDUSKY",
            "state": "MI",
            "postal_code": "484711065",
            "telephone_number": "810-648-8000",
            "fax_number": "810-648-9887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLAVAN",
        "first_name": "ROBERT",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-09-03",
        "last_updated": "2008-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301007192",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sandusky, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2008; 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.