Granite Run Chiropractic LTD

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

GRANITE RUN CHIROPRACTIC LTD

Practice address

93A W Main St
Leola, PA 17540-1803

Phone

(717) 656-5422

Fax

(717) 656-5403

NPI assigned

Jul 8, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Michael L Fuller, DC

Title

Owner

Phone

(717) 656-5422

Specialties & licenses 1

Addresses

Other names 1

• Chiro Plus Doing business as

Practitioners 2

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

• John M Grandizio, D.C.

  • Chiropractor
  • Quarryville, PA
  • NPI 1568405074
  NPD (past)
• Dung T Tran, D.C.

  • Chiropractor
  • Yonkers, NY
  • NPI 1932124674
  NPD (past)

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

{
    "created_epoch": "1152316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1093748485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "93A W MAIN ST",
            "city": "LEOLA",
            "state": "PA",
            "postal_code": "175401803",
            "telephone_number": "717-656-5422",
            "fax_number": "717-656-5403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "93A W MAIN ST",
            "city": "LEOLA",
            "state": "PA",
            "postal_code": "175401803",
            "telephone_number": "717-656-5422",
            "fax_number": "717-656-5403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRANITE RUN CHIROPRACTIC LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FULLER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "717-656-5422",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chiro Plus",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jennifer Galloway, MSW, LSW
• David James Gasperack, DO
• Miranda Louise Geyer, PA-C
• Lindsey Ann Goetz, M.D.
• Robert L Good, MD
• Heather Jeanne Groff, MSPT
• Aubrey Haller
• Kimberly Nicole Harris, PT
• Leila Hilal, MD
• Kenetta E. Hockenbrocht, CRNP

• Chiropractor in Leola, PA
• Providers in Leola, PA by specialty
• Chiropractor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.