Active NPI
Ciaran O. Grant, DC
- Chiropractor
- New York, NY
National Provider Identifier
1073571808
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- X011053-1
- Practice address
- 415 W 57TH St
Suite B/C
New York, NY 10019-1752 - Phone
- (914) 714-0336
- Fax
- (212) 246-1088
- NPI assigned
- May 2, 2006
- Last updated
- Dec 2, 2010
- 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 | X011053-1 | NY | Primary |
Addresses
Primary practice location
415 W 57TH St
Suite B/C
New York, NY 10019-1752
Mailing address
415 W. 57TH St
Suite B/C
New York, NY 10019-1753
Phone (914) 714-0336
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001503 | CT | MD | Addiction (Substance Use Disorder) Counselor |
| X011053-1 | NY | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Everest Chiropractic, P.C | Past | Accepting new patients |
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.
-
- Independent Medical Examiner Chiropractor
- New York, NY
- NPI 1780085886
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146528000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1291248000000",
"number": "1073571808",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "415 W. 57TH ST",
"address_2": "SUITE B/C",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100191753",
"telephone_number": "914-714-0336",
"fax_number": "212-246-1088"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "415 W 57TH ST",
"address_2": "SUITE B/C",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100191752",
"telephone_number": "914-714-0336",
"fax_number": "212-246-1088"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRANT",
"first_name": "CIARAN",
"middle_name": "O.",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-02",
"last_updated": "2010-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NY",
"license": "X011053-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.