THE COLONEL GLENN CHIROPRACTIC AND REHABILITATION CENTER LLC
NPI 1770085417
Chiropractor in Beavercreek Township, OH

Q: What is The Colonel Glenn Chiropractic And Rehabilitation Center LLC's specialty?

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

Active since March 07, 2018

4141 COLONEL GLENN HWY STE 151, BEAVERCREEK TOWNSHIP, OH 45431(037) 360-9323 Get Directions Write a Review

NPPES record last updated: March 7, 2018. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About The Colonel Glenn Chiropractic And Rehabilitation Center Llc NPPES

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

THE COLONEL GLENN CHIROPRACTIC AND REHABILITATION CENTER LLC (NPI 1770085417) is a healthcare organization registered as a chiropractor in Beavercreek Township, Ohio and active in the NPI registry since March 2018. The organization lists Robert Thomas Daubenspeck, Owner, as its authorized official.

NPPES Registry Identity

NPI1770085417

Entity TypeOrganization

Primary Taxonomy111N00000X

Legal Business NameTHE COLONEL GLENN CHIROPRACTIC AND REHABILITATION CENTER LLC

Location Address4141 COLONEL GLENN HWY STE 151Beavercreek Township, OH 45431-1662

Mailing Address4141 Colonel Glenn Hwy Ste 151Beavercreek Township, OH 45431-1662

Phone(037) 360-9323

Organization SubpartNo

Authorized OfficialRobert Thomas DaubenspeckOwner · (937) 360-9323

Enumeration DateMarch 7, 2018

✔ NPI 1770085417 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers

Taxonomy Code111N00000X

License✔ Licensed in OH · 3954

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.

4141 COLONEL GLENN HWY STE 151, Beavercreek Township, OH 45431

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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)

The Colonel Glenn Chiropractic And Rehabilitation Center Llc 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 The Colonel Glenn Chiropractic And Rehabilitation Center LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Robert Daubenspeck, D.C.

Chiropractic

NPI 1265672497

4141 COLONEL GLENN HWY STE 151
Beavercreek Township, OH 45431

(937) 250-1459

✔ Accepts MedicareSame address

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 The Colonel Glenn Chiropractic And Rehabilitation Center LLC's NPI number?

The NPI number for The Colonel Glenn Chiropractic And Rehabilitation Center LLC is 1770085417. It was assigned to this organization in the NPPES registry on March 7, 2018.

Where is The Colonel Glenn Chiropractic And Rehabilitation Center LLC located?

The Colonel Glenn Chiropractic And Rehabilitation Center LLC is located at 4141 Colonel Glenn Hwy Ste 151, Beavercreek Township, OH 45431. The listed phone number is (037) 360-9323.

What is The Colonel Glenn Chiropractic And Rehabilitation Center LLC's specialty?

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

Is The Colonel Glenn Chiropractic And Rehabilitation Center LLC enrolled in Medicare?

Yes. The Colonel Glenn Chiropractic And Rehabilitation Center LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through The Colonel Glenn Chiropractic And Rehabilitation Center LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to The Colonel Glenn Chiropractic And Rehabilitation Center LLC. 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 The Colonel Glenn Chiropractic And Rehabilitation Center LLC was last updated on March 7, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.