NPIMap

Organization Active NPI

Grover Clinic PC

  • Health Service Clinic/Center
  • Charlotte, NC
National Provider Identifier
1104847383
Registry record updated Nov 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
200301465 Issued in NC
Legal business name
GROVER CLINIC PC
Practice address
10320 Feld Farm LN Ste 300
Charlotte, NC 28210-8484
Phone
(704) 541-0925
Fax
(704) 541-0924
NPI assigned
Jul 22, 2006
Last updated
Nov 4, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2010

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

Authorized official

Name
Dr. Arun Grover, MDNPI 1720145998
Title
Doctor
Phone
(704) 541-0925

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X 200301465 NC Primary

Addresses

Primary practice location

10320 Feld Farm LN Ste 300
Charlotte, NC 28210-8484

Mailing address

10320 Feld Farm LN Ste 300
Charlotte, NC 28210-8484
Phone (704) 541-0925

Other identifiers 2

IdentifierTypeStateIssuer
136CTOtherNCBLUE CROSS BLUE SHIELD
89136CTMedicaidNC

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1153526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288828800000",
    "number": "1104847383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10320 FELD FARM LN STE 300",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282108484",
            "telephone_number": "704-541-0925",
            "fax_number": "704-541-0924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10320 FELD FARM LN STE 300",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282108484",
            "telephone_number": "704-541-0925",
            "fax_number": "704-541-0924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GROVER CLINIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-22",
        "last_updated": "2010-11-04",
        "status": "A",
        "authorized_official_last_name": "GROVER",
        "authorized_official_first_name": "ARUN",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "704-541-0925",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "NC",
            "license": "200301465",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "136CT",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89136CT",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 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.