Individual provider Active NPI

Todd J Glidewell, D.C.

  • Chiropractor
  • Dickson City, PA
National Provider Identifier
1972500049
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC007226-L Issued in PA
Practice address
927 Main St
Dickson City, PA 18519-1337
Phone
(570) 383-2222
Fax
(570) 383-3851
NPI assigned
Jul 5, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC007226-L PA Primary

Addresses

Primary practice location

927 Main St
Dickson City, PA 18519-1337

Mailing address

124 Carol Dr
Clarks Summit, PA 18411-1922
Phone (570) 587-3175

Other identifiers 1

IdentifierTypeStateIssuer
01686826MedicaidPA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050517000509 PA Practitioner - Chiropractic 9739120098 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Cleveland Chiropractic College - Kansas City, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Czulada Chiropractic, P.C.Group PAC ID 4284622796, 2 clinicians

Practice addresses (Care Compare)

1201 Wheeler Ave
Dunmore, PA 18510-1236

927 Main St
Dickson City, PA 18519-1337
Phone (570) 343-0400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC007226-LPAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Czulada Chiropractic, P.C. Chiropractor CurrentSince Jan 1, 2001 Accepting new patients

Locations

927 Main St
Scranton, PA 18519
Phone (570) 343-0400

Organizations & group practices 1

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": "1120521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1972500049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 CAROL DR",
            "city": "CLARKS SUMMIT",
            "state": "PA",
            "postal_code": "184111922",
            "telephone_number": "570-587-3175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "927 MAIN ST",
            "city": "DICKSON CITY",
            "state": "PA",
            "postal_code": "185191337",
            "telephone_number": "570-383-2222",
            "fax_number": "570-383-3851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLIDEWELL",
        "first_name": "TODD",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-05",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC007226-L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01686826",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dickson City, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.