DR. CONNOR OWEN GLAZA DC
NPI 1205778339
Chiropractor in Lake Wylie, SC

Q: What is Connor Glaza's NPI number?

The NPI number for Connor Glaza is 1205778339. It was assigned to this individual provider in the NPPES registry on April 7, 2026.

Q: What is Connor Glaza's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Connor Glaza was last updated on April 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.

Active since April 07, 2026

548 NAUTICAL DR STE 204, LAKE WYLIE, SC 29710(803) 831-2345 Get Directions Write a Review

NPPES record last updated: April 7, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Dr. Connor Owen Glaza Dc NPPES

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

DR. CONNOR OWEN GLAZA DC (NPI 1205778339) is an individual chiropractor in Lake Wylie, South Carolina, licensed in South Carolina (5309) and active in the NPI registry since April 2026. He is a graduate of Sherman College Of Straight Chiropractic (2026).

NPPES Registry Identity

NPI1205778339

Entity TypeIndividualMale

Primary Taxonomy111N00000X

Provider Legal NameDR. CONNOR OWEN GLAZACredential: DC

Location Address548 NAUTICAL DR STE 204Lake Wylie, SC 29710-0018

Mailing Address548 Nautical Dr Ste 204Lake Wylie, SC 29710-0018 · (803) 831-2345

Phone(803) 831-2345

Sole ProprietorNo

Medical School CMSSherman College Of Straight ChiropracticGraduated 2026

Enumeration DateApril 7, 2026

NPPES CertifiedApril 7, 2026

✔ NPI 1205778339 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers

Taxonomy Code111N00000X

License✔ Licensed in SC · 5309

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.

548 NAUTICAL DR STE 204, Lake Wylie, SC 29710

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Connor Owen Glaza Dc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID143797555

PECOS Enrollment IDI20260423000315

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 Connor Glaza's NPI number?

The NPI number for Connor Glaza is 1205778339. It was assigned to this individual provider in the NPPES registry on April 7, 2026.

Where is Connor Glaza located?

Connor Glaza practices at 548 Nautical Dr Ste 204, Lake Wylie, SC 29710. The listed phone number is (803) 831-2345.

What is Connor Glaza's specialty?

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

Is Connor Glaza enrolled in Medicare?

Yes. Connor Glaza is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Connor Glaza was last updated on April 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.