DR. GLEN C PETTERSEN DC
NPI 1386865319
Chiropractor in Clearwater, FL

Q: What is Glen Pettersen's NPI number?

The NPI number for Glen Pettersen is 1386865319. It was assigned to this individual provider in the NPPES registry on May 1, 2007.

Q: What is Glen Pettersen'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 Glen Pettersen was last updated on April 5, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since May 01, 2007

2451 N MCMULLEN BOOTH RD STE 312B, CLEARWATER, FL 33759(727) 260-4366(727) 222-3838 Get Directions Write a Review

NPPES record last updated: April 5, 2021. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Apr 5, 2021, Apr 1, 2021 (2 updates tracked since 2021).

On this page

About Dr. Glen C Pettersen Dc NPPES

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

DR. GLEN C PETTERSEN DC (NPI 1386865319) is an individual chiropractor in Clearwater, Florida, licensed in Florida (CH8923) and active in the NPI registry since May 2007.

NPPES Registry Identity

NPI1386865319

Entity TypeIndividualMale

Primary Taxonomy111N00000X

Provider Legal NameDR. GLEN C PETTERSENCredential: DC

Location Address2451 N MCMULLEN BOOTH RD STE 312BClearwater, FL 33759-1342

Mailing Address2451 N Mcmullen Booth Rd Ste 312bClearwater, FL 33759-1342 · (727) 260-4366 · Fax (727) 222-3838

Phone(727) 260-4366

Fax(727) 222-3838

Sole ProprietorNo

Enumeration DateMay 1, 2007

Last NPPES UpdateApril 5, 20212 updates tracked since enumeration

NPPES CertifiedApril 5, 2021

✔ NPI 1386865319 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers

Taxonomy Code111N00000X

License✔ Licensed in FL · CH8923

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.

2451 N MCMULLEN BOOTH RD STE 312B, Clearwater, FL 33759

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan, Wellpoint.Insurance ›

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 Glen Pettersen's NPI number?

The NPI number for Glen Pettersen is 1386865319. It was assigned to this individual provider in the NPPES registry on May 1, 2007.

Where is Glen Pettersen located?

Glen Pettersen practices at 2451 N Mcmullen Booth Rd Ste 312B, Clearwater, FL 33759. The listed phone number is (727) 260-4366.

What is Glen Pettersen's specialty?

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

What insurance does Glen Pettersen accept?

Health plans from Providence Health Plan and Wellpoint list Glen Pettersen as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Glen Pettersen was last updated on April 5, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.