DR. GLENN PAUL RIDDLE (DC) – Chiropractor, NPI 1649223280

DR. GLENN PAUL RIDDLE (DC) is a healthcare provider. based in Holiday, Florida. specializing in CHIROPRACTIC. They hold the professional credentials DC. They hold a License No. 0006712 (FL). The NPI Number for DR. GLENN PAUL RIDDLE (DC) is 1649223280

Main info

Male
Sole Proprietor
33 Years Of Experience
Accepts Medicare Assignment
Name
DR. GLENN PAUL RIDDLE (DC)
NPI
1649223280
Phone
(727) 938-5322
Address
4617 MILE STRETCH DR
Enumeration Date
17 May 2006
Last Update Date
16 August 2010

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7279385322
Graduation Year
1993 (33 years ago)
PAC ID
5294900726
Professional Enrollment ID
I20111213000218
Address ID
FL346904330HO4617XDRXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

2,472 CHIROPRACTIC in FL

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Provider Addresses for DR. GLENN PAUL RIDDLE (DC)

  • 4617, Mile Stretch Drive, Holiday, Pasco County, Florida, 34690, United States

    HOLIDAY, FL 346904330

    Phone: (727) 938-5322

    Fax: (727) 943-9546

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2011-12-13

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20111213000218IChiropracticFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
98940Chiropractic manipulative treatment, 1-2 spinal regions17223$0
View full utilization report →

Insurance plans in this area (ZIP 34690)

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Provider's Procedures

DR. GLENN PAUL RIDDLE (DC) performs procedures in CHIROPRACTIC. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
CHIROPRACTICFL98940Chiropractic manipulative treatment, 1-2 spinal regions11927

Reviews

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Frequently asked questions

How do I look up DR. GLENN PAUL RIDDLE (DC) by NPI?
Use NPI 1649223280 when you need to reference DR. GLENN PAUL RIDDLE (DC) in forms, claims, or directories.
Is DR. GLENN PAUL RIDDLE (DC)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is DR. GLENN PAUL RIDDLE (DC)?
The page reflects Chiropractor for DR. GLENN PAUL RIDDLE (DC). Clinical services aligned with this taxonomy classification.
Where is DR. GLENN PAUL RIDDLE (DC)'s primary listing?
We display Holiday, Florida because that is what the record indicates for DR. GLENN PAUL RIDDLE (DC).
How can I contact DR. GLENN PAUL RIDDLE (DC)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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