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DR. DUSTIN RAY GLASS D.C.
NPI 1447461330
Chiropractor - Sports Physician in Lake Forest, CA

Active since May 24, 2007
22600-F LAMBERT ST., STE 1202, LAKE FOREST, CA 92630(949) 273-5935(949) 273-5936 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Dr. Dustin Ray Glass D.c. NPPES

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

DR. DUSTIN RAY GLASS D.C. (NPI 1447461330) is an individual sports physician in Lake Forest, California, licensed in California (DC28953) and active in the NPI registry since May 2007. He is a graduate of Other (2003).

NPPES Registry Identity

NPI1447461330
Entity TypeIndividualMale
Primary Taxonomy111NS0005X
Provider Legal NameDR. DUSTIN RAY GLASSCredential: D.C.
Location Address22600-F LAMBERT ST., STE 1202Lake Forest, CA 92630
Mailing Address22600-f Lambert St., Ste 1202Lake Forest, CA 92630 · (949) 273-5935 · Fax (949) 273-5936
Phone(949) 273-5935
Fax(949) 273-5936
Sole ProprietorYes
Medical School CMSOtherGraduated 2003
Enumeration DateMay 24, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1447461330 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractor · Sports PhysicianChiropractic Providers
Taxonomy Code111NS0005X
License✔ Licensed in CA · DC28953
Definition
A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) or the Certified Chiropractic Sports Physician (CCSP), sport specialty certifications from the American Chiropractic Board of Sports Physicians, have advanced training in the assessment, management and rehabilitation of sports related injuries. Extremity care, rehabilitation and soft tissue procedures are common skills utilized by these doctors. The specialty training covers a broad spectrum from the pediatric athlete to professional and Olympic athletes, and everything in between, using a variety of techniques and modalities.
22600-F LAMBERT ST., Lake Forest, CA 92630
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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. Dustin Ray Glass D.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6406276633
PECOS Enrollment IDI20201008003555

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 Dustin Glass's NPI number?

The NPI number for Dustin Glass is 1447461330. It was assigned to this individual provider in the NPPES registry on May 24, 2007.

Where is Dustin Glass located?

Dustin Glass practices at 22600-F Lambert St. Ste 1202, Lake Forest, CA 92630. The listed phone number is (949) 273-5935.

What is Dustin Glass's specialty?

The primary specialty registered for this NPI is Chiropractor, specializing in Sports Physician, with taxonomy code 111NS0005X.

Is Dustin Glass enrolled in Medicare?

Yes. Dustin Glass is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Dustin Glass 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.