Update this page – If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS.
Individual
DR. GLENN G PETTY
Active
Individual
DR. GLENN G PETTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
180
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
018576101
—
TX
05
—
134175717
—
AR
01
—
P00129576
RAILROAD-AR
AR
01
—
P00349253
RAILROAD-TX
TX
Enumeration date
06/16/2006
Last updated
08/05/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up