Jeffrey Ronald Grazen, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

X006068 Issued in NY

Practice address

450 Central Ave
Suite 102
Lancaster, NY 14086-1262

Phone

(716) 683-6615

Fax

(716) 685-2052

NPI assigned

Jun 14, 2006

Last updated

Jul 8, 2007By the provider in NPPES

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 6

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Chiropractic

Education

National College of Chiropractic, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1033152129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 CENTRAL AVE",
            "address_2": "SUITE 102",
            "city": "LANCASTER",
            "state": "NY",
            "postal_code": "140861262",
            "telephone_number": "716-683-6615",
            "fax_number": "716-685-2052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 CENTRAL AVE",
            "address_2": "SUITE 102",
            "city": "LANCASTER",
            "state": "NY",
            "postal_code": "140861262",
            "telephone_number": "716-683-6615",
            "fax_number": "716-685-2052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAZEN",
        "first_name": "JEFFREY",
        "middle_name": "RONALD",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X006068",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "63679",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACN",
            "identifier": "605089",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRISM HEALTH NETWORKS",
            "identifier": "16150318701",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHLD WNY",
            "identifier": "002259271",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENT HEALTH ASSOC",
            "identifier": "8809354",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WORKERS COMPENSATION",
            "identifier": "C06068-3",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Allyson Ann Goff
• Kara Good, ARNP
• Melissa Rose Gorski
• Jessica Danielle Grant
• Christopher A Grazen
• Jenna Grazen, PT, DPT
• Mark F Grazen
• Joseph Graziano, LMT
• Mark Joseph Guglielmi, DPT
• Jamie L. Haen, OTR/L

• Chiropractor in Lancaster, NY
• Providers in Lancaster, NY by specialty
• Chiropractor in New York

• 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.
• 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.