Grants Pass Chiropractic Clinic, PC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

1547 Issued in OR

Legal business name

GRANTS PASS CHIROPRACTIC CLINIC, PC

Practice address

1103 NE 7TH St
Grants Pass, OR 97526-1421

Phone

(541) 479-1982

Fax

(541) 479-0621

NPI assigned

Aug 28, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Edward WelchNPI 1760566012

Title

President of Corporation

Phone

(541) 479-1982

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Edward Welch, D.C.

  • Chiropractor
  • Grants Pass, OR
  • NPI 1760566012
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1346112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346112000000",
    "number": "1023366705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1103 NE 7TH ST",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "975261421",
            "telephone_number": "541-479-1982",
            "fax_number": "541-479-0621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1103 NE 7TH ST",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "975261421",
            "telephone_number": "541-479-1982",
            "fax_number": "541-479-0621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRANTS PASS CHIROPRACTIC CLINIC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-28",
        "last_updated": "2012-08-28",
        "status": "A",
        "authorized_official_last_name": "WELCH",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_title_or_position": "PRESIDENT OF CORPORATION",
        "authorized_official_telephone_number": "541-479-1982",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "OR",
            "license": "1547",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia Grahn
• Mitzi Grannis
• Cassie Lee Grant, L.M.T
• Grants Pass Assisted Living LLC
• Grants Pass Cab
• Grants Pass Clinic LLP
• Grants Pass Dental, LLC
• Grants Pass Imaging and Diagnotic Center, LLC
• Grants Pass Management Services, Inc.
• Grants Pass Management Services, Inc.

• Clinic/Center in Grants Pass, OR
• Providers in Grants Pass, OR by specialty
• Clinic/Center in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.