John Eric Grenillo, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2301007818 Issued in MI

Practice address

5740 Plymouth Rd
Ann Arbor, MI 48105-9312

Phone

(734) 213-5805

Fax

(734) 213-5872

NPI assigned

May 31, 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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Superior Family Chiropratic Inc

  • Chiropractor
  • Ann Arbor, MI
  • NPI 1619179942
  NPD (past) Authorized official

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

{
    "created_epoch": "1180569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1023210358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5740 PLYMOUTH RD",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481059312",
            "telephone_number": "734-213-5805",
            "fax_number": "734-213-5872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5740 PLYMOUTH RD",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481059312",
            "telephone_number": "734-213-5805",
            "fax_number": "734-213-5872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRENILLO",
        "first_name": "JOHN",
        "middle_name": "ERIC",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301007818",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "0H11230",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Allison Jeanette Grekin, CNM
• Rebecca Shayne Grekin, PHD
• Rachael Grelock
• Sonny Kay Grendel, OTR
• Paul James Grenier, O.D.
• Nicole Marie Grennell, FNP-C
• Alison Grenon
• Sara Helene Greschuk, LMSW
• Greta Furlong LMSW PLLC
• Gretchen L. Heutsche, DPM PC

• Chiropractor in Ann Arbor, MI
• Providers in Ann Arbor, MI by specialty
• Chiropractor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.