Active NPI
Glenn M Stark, DC
- Chiropractor
- Martinsville, VA
National Provider Identifier
1992783583
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 0104000930
- Practice address
- 425 Commonwealth Blvd E
Martinsville, VA 24112-2014 - Phone
- (276) 632-2226
- Fax
- (276) 632-2395
- NPI assigned
- Jan 4, 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 | 0104000930 | VA | Primary |
Addresses
Primary practice location
425 Commonwealth Blvd E
Martinsville, VA 24112-2014
Mailing address
425 Commonwealth Blvd E
Martinsville, VA 24112-2014
Phone (276) 632-2226
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 |
|---|---|---|---|
| 0104000930 | VA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cornerstone Complete Care Inc | Chiropractor | Current | Accepting new patients |
Locations
425 Commonwealth Blvd E
Martinsville, VA 24112
Phone (276) 632-2226
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.
-
- Chiropractor
- Danville, VA
- NPI 1285659334
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136332800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1992783583",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "425 COMMONWEALTH BLVD E",
"city": "MARTINSVILLE",
"state": "VA",
"postal_code": "241122014",
"telephone_number": "276-632-2226",
"fax_number": "276-632-2395"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "425 COMMONWEALTH BLVD E",
"city": "MARTINSVILLE",
"state": "VA",
"postal_code": "241122014",
"telephone_number": "276-632-2226",
"fax_number": "276-632-2395"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STARK",
"first_name": "GLENN",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-04",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "VA",
"license": "0104000930",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Martinsville, VA
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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.