DR. GLENN A CAUDELL (DC) – Chiropractor, NPI 1407894843

DR. GLENN A CAUDELL (DC) is a healthcare provider. based in Dearborn heights, Michigan. specializing in CHIROPRACTIC. They hold the professional credentials DC. They hold a License No. 2301005226 (MI). The NPI Number for DR. GLENN A CAUDELL (DC) is 1407894843

Main info

Male
41 Years Of Experience
Accepts Medicare Assignment
Name
DR. GLENN A CAUDELL (DC)
NPI
1407894843
Phone
(313) 562-5742
Address
23452 HILL ST
Enumeration Date
4 June 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
LIFE CHIROPRACTIC COLLEGE
Secondary Phone
3135630530
Graduation Year
1985 (41 years ago)
PAC ID
2567635501
Group Practice PAC ID
8729253794
Professional Enrollment ID
I20111107000799
Address ID
MI481273221DE5928XRDXX400
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

1,869 CHIROPRACTIC in MI

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Provider Addresses for DR. GLENN A CAUDELL (DC)

  • Robert E. Hagan Memorial Highway, Dearborn Heights, Brier Hill, Youngstown, Mahoning County, Ohio, 44510, United States

    DEARBORN HEIGHTS, MI 481272381

    Phone: (313) 562-5742

    Type: Mailing

  • 5928, North Telegraph Road, Dearborn Heights, Wayne County, Michigan, 48127, United States

    DEARBORN HEIGHTS, MI 481273221

    Phone: (313) 563-0530

    Fax: (313) 563-1430

    Type: Location

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: 2011-11-07

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
I20111107000799IChiropracticMITBD

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
98941Chiropractic manipulative treatment, 3-4 spinal regions64658$0
View full utilization report →

Insurance plans in this area (ZIP 48127)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8729253794View full group profile
NameSpecialtyState
C H I R O P R A C T I CMI

Reviews

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Frequently asked questions

What is the 10-digit NPI for DR. GLENN A CAUDELL (DC)?
DR. GLENN A CAUDELL (DC) — NPI 1407894843 — is the standard way to identify this listing.
Can I rely on DR. GLENN A CAUDELL (DC) being an active provider?
As of the registry snapshot, DR. GLENN A CAUDELL (DC) is marked active.
What taxonomy line describes DR. GLENN A CAUDELL (DC)?
For research purposes, treat DR. GLENN A CAUDELL (DC) as Chiropractor in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for DR. GLENN A CAUDELL (DC)?
DR. GLENN A CAUDELL (DC)'s geographic hint is Dearborn Heights, Michigan in our summary view.
Why does DR. GLENN A CAUDELL (DC) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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