Daniel Paul Grimm, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4491-012 Issued in WI

Practice address

909 S Taylor Dr
Sheboygan, WI 53081-4766

Phone

(920) 451-7000

Fax

(920) 451-7100

NPI assigned

Oct 3, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Bay Wellness Family Chiropractic LLC.

  • Chiropractor
  • Portland, ME
  • NPI 1568641090
  NPD (past) Authorized official
• Dirker Chiropractic LLC

  • Chiropractor
  • Sheboygan, WI
  • NPI 1215002399
  NPD (past)

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

{
    "created_epoch": "1191369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334707200000",
    "number": "1104013119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "909 S TAYLOR DR",
            "city": "SHEBOYGAN",
            "state": "WI",
            "postal_code": "530814766",
            "telephone_number": "920-451-7000",
            "fax_number": "920-451-7100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 S TAYLOR DR",
            "city": "SHEBOYGAN",
            "state": "WI",
            "postal_code": "530814766",
            "telephone_number": "920-451-7000",
            "fax_number": "920-451-7100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIMM",
        "first_name": "DANIEL",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-10-03",
        "last_updated": "2012-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "4491-012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP ID",
            "identifier": "000035542",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Charysse M Gregorash, MS-SLP
• Rachel J Gretebeck, MS, CSAC
• Lori A Gretz
• Anthony J Gries, PT
• Laura Martha Griffin, MS, ATR-BC
• Brenda Mae Grissom, OTR
• Amanda J Groll, LPC
• Gregory S Grose, MD
• Grounded Roots Chiropractic LLC
• Grube Anesthesia Services, LLC

• Chiropractor in Sheboygan, WI
• Providers in Sheboygan, WI by specialty
• Chiropractor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2012; 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.