Individual provider Active NPI

Ciaran O. Grant, DC

  • Chiropractor
  • New York, NY
National Provider Identifier
1073571808
Registry record updated Dec 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X011053-1 Issued in NY
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, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
001503CTMDAddiction (Substance Use Disorder) Counselor
X011053-1NYMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.