Mark E Graycar, D.C., D.N.F.T.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4822 Issued in CO

Practice address

3014 Bluff St
Suite 100
Boulder, CO 80301-2166

Phone

(720) 406-9447

Fax

(303) 974-1133

NPI assigned

Apr 10, 2007

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

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Specialty

Chiropractic

Education

Life Chiropractic College - West, 1997

Medicare assignment

May accept Medicare assignment

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.

• Graycar Chiropractic, PC

  • Chiropractor
  • Boulder, CO
  • NPI 1508320888
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1226880000000",
    "number": "1013130830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3014 BLUFF ST",
            "address_2": "SUITE 100",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803012166",
            "telephone_number": "720-406-9447",
            "fax_number": "303-974-1133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3014 BLUFF ST",
            "address_2": "SUITE 100",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803012166",
            "telephone_number": "720-406-9447",
            "fax_number": "303-974-1133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAYCAR",
        "first_name": "MARK",
        "middle_name": "E",
        "name_prefix": "Mr.",
        "credential": "D.C., D.N.F.T.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-10",
        "last_updated": "2008-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "4822",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Timothy H Graves, PA-C
• James Macgregor Anthony Gray, LCSW
• Keaton Gray, LCSW
• Regina Berice Gray, MSW
• Graycar Chiropractic, PC
• Janet Ellen Graysen
• Amelia Fox Greacen, LIC AC, DIPL AC, CH
• Great Smiles Dentistry, LLC
• Kelly Grebe, B.S.
• Green Space Cooperative LTD

• Chiropractor in Boulder, CO
• Providers in Boulder, CO by specialty
• Chiropractor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2008; 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.