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GLENN EDWIN JOHNSON D.C.
NPI 1225235997
Chiropractor in Anaheim, CA

Active since June 27, 2007
1665 S BROOKHURST ST, SUITE J, ANAHEIM, CA 92804(714) 772-2225(714) 400-0026 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Glenn Edwin Johnson D.c. NPPES

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

GLENN EDWIN JOHNSON D.C. (NPI 1225235997) is an individual chiropractor in Anaheim, California, licensed in California (DC17210) and active in the NPI registry since June 2007. He is a graduate of Cleveland Chiropractic College - Los Angeles (1985).

NPPES Registry Identity

NPI1225235997
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameGLENN EDWIN JOHNSONCredential: D.C.
Location Address1665 S BROOKHURST ST, SUITE JAnaheim, CA 92804-6000
Mailing Address1665 S Brookhurst St, Suite JAnaheim, CA 92804-6000 · (714) 772-2225 · Fax (714) 400-0026
Phone(714) 772-2225
Fax(714) 400-0026
Sole ProprietorYes
Medical School CMSCleveland Chiropractic College - Los AngelesGraduated 1985
Enumeration DateJune 27, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1225235997 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in CA · DC17210
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.
1665 S BROOKHURST ST, Anaheim, CA 92804
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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)

Glenn Edwin Johnson D.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5890879951
PECOS Enrollment IDI20080227000706

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ARDENT CARE LLC
Assisted Living Facility
1665 S BROOKHURST ST
ANAHEIM, CA 92804
Orange County (714) 991-0991

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 Glenn Johnson's NPI number?

The NPI number for Glenn Johnson is 1225235997. It was assigned to this individual provider in the NPPES registry on June 27, 2007.

Where is Glenn Johnson located?

Glenn Johnson practices at 1665 S Brookhurst St Suite J, Anaheim, CA 92804. The listed phone number is (714) 772-2225.

What is Glenn Johnson's specialty?

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

Is Glenn Johnson enrolled in Medicare?

Yes. Glenn Johnson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Glenn Johnson was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.