DR. GLENN KEITH AZZARI (NPI# 1245390061) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245390061 |
| Entity Type | Individual |
| Full Name | DR. GLENN KEITH AZZARI |
| Credential | D.C. |
| Practice Address |
12015 N Saguaro Blvd Suite 103 Fountain Hills AZ 85268-4680 |
| Practice Telephone | 4808360800 |
| Practice Fax Number | 4808168886 |
| Mailing Telephone | 4808360800 |
| Mailing Fax Number | 4808168886 |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2007-12-11 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 5517 | AZ | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | BCBS | AZ0242170 | 01 |
| Street Address |
12015 N SAGUARO BLVD SUITE 103 |
| City | FOUNTAIN HILLS |
| State | AZ |
| Zip Code | 85268-4680 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861948432 | Michael James Sivak IIi | Licensed Practical Nurse | 16100 E Palisades Blvd, Fountain Hills, AZ 85268 | 2016-09-01 |
| 1346793494 | Allyn Louise Krieger-fiedler | Naturopath | 16425 East Inca Ave, Fountain Hills, AZ 85268 | 2016-07-25 |
| 1013316140 | Paul Knott | Pharmacist | 16545 East Palisades Boulvard, Fountain Hills, AZ 85268 | 2014-08-14 |
| 1497176838 | Corinna Bradley | Psychologist | 16428 East Kingstree Blvd, Fountain Hills, AZ 85268 | 2014-01-03 |
| 1821345810 | Sherry Anne Garst | Student in an Organized Health Care Education/Training Program | 17100 E. Shea Blvd, Suite. #225, Fountain Hills, AZ 85268 | 2012-08-08 |
| 1710240585 | Kathleen A Carroll | Speech-Language Pathologist | 17100 E Shea Blvd Ste 600, Fountain Hills, AZ 85268 | 2012-06-18 |
| 1972881266 | Ivy Joan Medow | Occupational Therapy Assistant | 17100 E. Shea Blvd., Stars, Fountain Hills, AZ 85268 | 2011-08-03 |
| 1710270871 | Stephanie Virginia Cochran | Speech-Language Pathologist | 17100 E Shea Blvd #225, Fountain Hills, AZ 85268 | 2011-05-24 |
| 1750697884 | Lanzon Medical Consulting | Nursing Care | 13771 N. Fountain Hills Blvd, #114, Fountain Hills, AZ 85268 | 2010-08-26 |
| 1790928414 | Kathryn Mary Montgomery | Specialist/Technologist | 14825 N Fayette Dr, Fountain Hills, AZ 85268 | 2009-04-10 |
| Find all providers in zip 85268 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831606649 | Grant Andres | Chiropractor | 17100 E Shea Blvd Ste 320, Fountain Hills, AZ 85268-6654 | 2018-01-02 |
| 1164605507 | Douglas Ryan Schultz | Chiropractor | 16425 E Palisades Blvd Ste 105, Fountain Hills, AZ 85268-3754 | 2007-12-07 |
| 1922298207 | Red Rock Family Chiropractic, P.C. | Chiropractor | 17334 E Tejon Dr, Fountain Hills, AZ 85268-2665 | 2007-08-01 |
| 1427187681 | Bonita B Mandeville | Chiropractor | 17007 E Colony Dr, Suite 104, Fountain Hills, AZ 85268-4672 | 2007-03-05 |
| 1871660423 | Grant Patrick Smith | Chiropractor | 11673 N Saguaro Blvd, Fountain Hills, AZ 85268 | 2006-11-29 |
| 1164450086 | Nicholas J. Schultz | Chiropractor | 16622 E Avenue of The Fountains, Suite 102, Fountain Hills, AZ 85268-8317 | 2006-06-29 |
| 1801824172 | Carolyn B Good | Chiropractor | 15316 E Quick Draw Pl, Fountain Hills, AZ 85268-1405 | 2006-06-28 |
| 1801890512 | Lisa Marie Montez-wood | Chiropractor | 16425 E Palisades Blvd, Ste 105, Fountain Hills, AZ 85268-3754 | 2005-06-09 |
| 1144570482 | Smith Family Chiropractic LLC | Chiropractor | 11673 N Saguaro Blvd, Fountain Hills, AZ 85268-4630 | 2012-09-13 |
| 1710204201 | Fountain Hills Family Chiropractic & Rehab, LLC | Chiropractor | 17100 E Shea Blvd, Suite 320, Fountain Hills, AZ 85268-6625 | 2010-04-23 |
| Find all providers in FOUNTAIN HILLS | ||||
| City | FOUNTAIN HILLS |
| Zip Code | 85268 |
Please comment or provide details below to improve the information on DR. GLENN KEITH AZZARI.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.