NORTH GLEN CHIROPRACTIC, A PROFESSIONAL CORPORATION
NPI 1174503072
Chiropractor in Los Angeles, CA

Active since January 18, 2006
3542 HOLLYDALE DR, LOS ANGELES, CA 90039(818) 247-4766 Get Directions Write a Review

NPPES record last updated: December 19, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 14, 2023, Aug 22, 2020 (2 updates tracked since 2020).

About North Glen Chiropractic, A Professional Corporation NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NORTH GLEN CHIROPRACTIC, A PROFESSIONAL CORPORATION (NPI 1174503072) is a healthcare organization registered as a chiropractor in Los Angeles, California and active in the NPI registry since January 2006. The organization lists Deeann Nason, Chiropractic President, as its authorized official.

NPPES Registry Identity

NPI1174503072
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameNORTH GLEN CHIROPRACTIC, A PROFESSIONAL CORPORATION
Location Address3542 HOLLYDALE DRLos Angeles, CA 90039-2117
Mailing Address5612 Spa DrHuntington Beach, CA 92647-2025 · (323) 513-2983
Organization SubpartNo
Authorized OfficialDeeann NasonChiropractic President · (818) 247-4766
Enumeration DateJanuary 18, 2006
Last NPPES UpdateDecember 19, 20232 updates tracked since enumeration
NPPES CertifiedDecember 19, 2023
✔ NPI 1174503072 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in CA · 20329
Definition
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.
3542 HOLLYDALE DR, Los Angeles, CA 90039

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

North Glen Chiropractic, A Professional Corporation is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to North Glen Chiropractic, A Professional Corporation, which bills Medicare for the services this clinician delivers.

Clinician (1)

Chiropractic
NPI 1194924167
1306 W GLENOAKS BLVD
Glendale, CA 91201
(818) 247-4766
3.7 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is North Glen Chiropractic, A Professional Corporation's NPI number?

The NPI number for North Glen Chiropractic, A Professional Corporation is 1174503072. It was assigned to this organization in the NPPES registry on January 18, 2006.

Where is North Glen Chiropractic, A Professional Corporation located?

North Glen Chiropractic, A Professional Corporation is located at 3542 Hollydale Dr, Los Angeles, CA 90039. The listed phone number is (818) 247-4766.

What is North Glen Chiropractic, A Professional Corporation's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is North Glen Chiropractic, A Professional Corporation enrolled in Medicare?

Yes. North Glen Chiropractic, A Professional Corporation is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through North Glen Chiropractic, A Professional Corporation?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to North Glen Chiropractic, A Professional Corporation. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for North Glen Chiropractic, A Professional Corporation was last updated on December 19, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.