Active NPI
John Granone, D.C.
- Chiropractor
- Lutz, FL
National Provider Identifier
1124062633
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 8905
- Practice address
- 16541 Pointe Village Dr
Suite 209
Lutz, FL 33558-5258 - Phone
- (813) 336-4461
- Fax
- (813) 336-4466
- NPI assigned
- Jun 15, 2006
- 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 | 8905 | FL | Primary |
Addresses
Primary practice location
16541 Pointe Village Dr
Suite 209
Lutz, FL 33558-5258
Mailing address
23 E Tarpon Ave
Tarpon Springs, FL 34689-3449
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 381861600 | Medicaid | FL | |
| 647056 | Other | FL | UNITED HEALTH CARE |
| 89863 | Other | FL | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8905 | FL | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tarpon Total Health Care Inc. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Nutrition Chiropractor
- Tarpon Springs, FL
- NPI 1497870208
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150329600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1485820800000",
"number": "1124062633",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23 E TARPON AVE",
"city": "TARPON SPRINGS",
"state": "FL",
"postal_code": "346893449"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16541 POINTE VILLAGE DR",
"address_2": "SUITE 209",
"city": "LUTZ",
"state": "FL",
"postal_code": "335585258",
"telephone_number": "813-336-4461",
"fax_number": "813-336-4466"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRANONE",
"first_name": "JOHN",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-15",
"last_updated": "2017-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "FL",
"license": "8905",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "381861600",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTH CARE",
"identifier": "647056",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "89863",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lutz, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.