Active NPI
Stanley D Grimmel, D.C.
- Chiropractor
- Kenneth City, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH9471
- Practice address
- 5670 54TH Ave N Ste a-2
Kenneth City, FL 33709-2067 - Phone
- (727) 344-2225
- Fax
- (727) 344-2220
- NPI assigned
- Mar 13, 2008
- Last updated
- Nov 5, 2025
- Sex
- Male
- Sole proprietor
- Yes
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 | CH9471 | FL | Primary |
Addresses
Primary practice location
5670 54TH Ave N Ste a-2
Kenneth City, FL 33709-2067
Mailing address
5670 54TH Ave N Ste a-2
Kenneth City, FL 33709-2067
Phone (727) 344-2225
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 1980
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
5670 54TH Ave N
Suite a 2
Kenneth City, FL 33709-2067
Phone (727) 344-2225
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Pete Spinal Care LLC | Current | Accepting new patients | |
| Dr. Gary W. Smart | Past | Accepting new patients |
Locations
5670 54th Ave N
Ste A-2
Kenneth City, FL 33709
Phone (727) 344-2225
2201 58th St N
St Petersburg, FL 33710
Phone (727) 202-7250
6798 Crosswinds Dr N
Ste C105
St Petersburg, FL 33710
Phone (727) 344-2225
Networks
- Freedom Health HMO Network
Organizations & group practices 2
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.
-
- Health Service Clinic/Center
- South Portland, ME
- NPI 1114175122
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1205366400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762300800000",
"number": "1104097427",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5670 54TH AVE N STE A-2",
"city": "KENNETH CITY",
"state": "FL",
"postal_code": "337092067",
"telephone_number": "727-344-2225",
"fax_number": "727-344-2220"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5670 54TH AVE N STE A-2",
"city": "KENNETH CITY",
"state": "FL",
"postal_code": "337092067",
"telephone_number": "727-344-2225",
"fax_number": "727-344-2220"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRIMMEL",
"first_name": "STANLEY",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-03-13",
"last_updated": "2025-11-05",
"certification_date": "2025-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "FL",
"license": "CH9471",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kenneth City, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.