Andrew Jason Granger, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3012 Issued in OH

Practice address

2115 Polaris Pkwy
Columbus, OH 43240-2022

Phone

(614) 888-3500

NPI assigned

Jun 8, 2006

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2000

Medicare assignment

May accept Medicare assignment

Group practices

Andrew and Carrie Granger Chiropractic, IncGroup PAC ID 8921053737, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Andrew & Carrie Granger Chiropractic, Inc

  • Chiropractor
  • Columbus, OH
  • NPI 1265468896
  Medicare reassignment Care Compare group NPD
• Granger Chiropractic and Family Medicine, Inc.

  • Chiropractor
  • Columbus, OH
  • NPI 1700091394
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192406400000",
    "number": "1003857608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3216 S 3 BS AND K RD",
            "city": "GALENA",
            "state": "OH",
            "postal_code": "430219756",
            "telephone_number": "740-965-5856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2115 POLARIS PKWY",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432402022",
            "telephone_number": "614-888-3500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANGER",
        "first_name": "ANDREW",
        "middle_name": "JASON",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-08",
        "last_updated": "2007-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "3012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "000000299311",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2180045",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Grandview Heights City School District
• Grandview Medical Pharmacy Inc
• Grandview Medical Professional Corporation
• Grandview Vision Center LLC
• Granger Chiropractic and Family Medicine, Inc.
• Carrie Lynn Granger, DC
• Izaak William Granger, APRN-CNP
• Jeffrey F Granger, M.D.
• Matthew R Granger, APRN-CNP
• Dominic Granito

• Chiropractor in Columbus, OH
• Providers in Columbus, OH by specialty
• Chiropractor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.