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DR. GLENN R. EZELL D.C.
NPI 1942547062
Chiropractor in Saint Charles, MO

Active since January 09, 2013
2201 1ST CAPITOL DR STE 101, SAINT CHARLES, MO 63301(636) 485-6661(636) 916-0668 Get Directions Write a Review

NPPES record last updated: April 29, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Glenn R. Ezell D.c. NPPES

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

DR. GLENN R. EZELL D.C. (NPI 1942547062) is an individual chiropractor in Saint Charles, Missouri, licensed in Missouri (2013000467) and active in the NPI registry since January 2013. He is a graduate of Logan College Of Chiropractic (2012).

NPPES Registry Identity

NPI1942547062
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. GLENN R. EZELLCredential: D.C.
Location Address2201 1ST CAPITOL DR STE 101Saint Charles, MO 63301-5805
Mailing Address2201 1st Capitol Dr Ste 101Saint Charles, MO 63301-5805 · (636) 485-6661
Phone(636) 485-6661
Fax(636) 916-0668
Sole ProprietorYes
Medical School CMSLogan College Of ChiropracticGraduated 2012
Enumeration DateJanuary 9, 2013
Last NPPES UpdateApril 29, 2020
NPPES CertifiedApril 29, 2020
✔ NPI 1942547062 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in MO · 2013000467
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.
2201 1ST CAPITOL DR STE 101, Saint Charles, MO 63301
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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. Glenn R. Ezell D.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8325278724
PECOS Enrollment IDI20140305000119

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 Ezell's NPI number?

The NPI number for Glenn Ezell is 1942547062. It was assigned to this individual provider in the NPPES registry on January 9, 2013.

Where is Glenn Ezell located?

Glenn Ezell practices at 2201 1st Capitol Dr Ste 101, Saint Charles, MO 63301. The listed phone number is (636) 485-6661.

What is Glenn Ezell's specialty?

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

Is Glenn Ezell enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Glenn Ezell was last updated on April 29, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.