Active NPI
Adrian A Granite, D.C.
- Chiropractor
- Dedham, MA
National Provider Identifier
1013249911
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 3317
- Practice address
- 333 Elm St
Suite 120
Dedham, MA 02026-4530 - Phone
- (781) 467-0088
- NPI assigned
- Feb 3, 2010
- Last updated
- Nov 16, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 3317 | MA | MD | Counseling Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Granite Family Chiropractic and Nutrition | Chiropractor | Current | 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.
-
- Chiropractor
- Dedham, MA
- NPI 1699068023
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.