Individual provider Active NPI

Adrian A Granite, D.C.

  • Chiropractor
  • Dedham, MA
National Provider Identifier
1013249911
Registry record updated Nov 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3317 Issued in MA
Practice address
333 Elm St
Suite 120
Dedham, MA 02026-4530
Phone
(781) 467-0088
NPI assigned
Feb 3, 2010
Last updated
Nov 16, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3317 MA Primary

Addresses

Primary practice location

333 Elm St
Suite 120
Dedham, MA 02026-4530

Mailing address

333 Elm St
Suite 120
Dedham, MA 02026-4530
Phone (781) 467-0088

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110725000235 MA Practitioner - Chiropractic 8224216304 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
New York Chiropractic College, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

333 Elm St
Suite 120
Dedham, MA 02026-4611
Phone (781) 467-0088

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3317MAMDCounseling Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Granite Family Chiropractic and Nutrition Chiropractor CurrentSince Apr 27, 2011 Accepting new patients

Locations

333 Elm St
Ste 120
Dedham, MA 02026
Phone (781) 467-0088

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1265155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416096000000",
    "number": "1013249911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 ELM ST",
            "address_2": "SUITE 120",
            "city": "DEDHAM",
            "state": "MA",
            "postal_code": "020264530",
            "telephone_number": "781-467-0088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 ELM ST",
            "address_2": "SUITE 120",
            "city": "DEDHAM",
            "state": "MA",
            "postal_code": "020264530",
            "telephone_number": "781-467-0088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANITE",
        "first_name": "ADRIAN",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-02-03",
        "last_updated": "2014-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MA",
            "license": "3317",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dedham, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2014; 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.