Grandle Chiropractic PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC30015 Issued in CA

Legal business name

GRANDLE CHIROPRACTIC PC

Practice address

209A Santa Barbara St
Santa Barbara, CA 93101-1820

Phone

(805) 963-2086

Fax

(805) 963-2087

NPI assigned

Mar 11, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Marc D Grandle, D.C.NPI 1376723734

Title

Owner

Phone

(805) 963-2086

Specialties & licenses 1

Addresses

Other names 1

• Alki Art & Wellness Institute Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

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.

• Marc D Grandle, DC

  • Chiropractor
  • Santa Barbara, CA
  • NPI 1376723734
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1426032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426032000000",
    "number": "1083007348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209A SANTA BARBARA ST",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931011820",
            "telephone_number": "805-963-2086",
            "fax_number": "805-963-2087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209A SANTA BARBARA ST",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931011820",
            "telephone_number": "805-963-2086",
            "fax_number": "805-963-2087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRANDLE CHIROPRACTIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-11",
        "last_updated": "2015-03-11",
        "status": "A",
        "authorized_official_last_name": "GRANDLE",
        "authorized_official_first_name": "MARC",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "805-963-2086",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC30015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alki Art & Wellness Institute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Gracious Living of Santa Barbara Inc
• Kimberly Painter Grafton, MD
• Scott T Grafton, MD
• Joann Noel Graham, MA
• Cynthia Marie Grancourt, PSYD
• Marc D Grandle, DC
• David Nikolas Granirer, AMFT
• Celena Corinne Grant, RN
• Jacob Grant
• Lance Lee Grant, D.M.D.

• Chiropractor in Santa Barbara, CA
• Providers in Santa Barbara, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2015; 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.