Active NPI
Timothy Raymond Graupmann, D.C.
- Chiropractor
- Grand Rapids, MN
National Provider Identifier
1134157290
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 3893
- Practice address
- Grand Rapids Chiropractic 2610 S Hwy 169
Grand Rapids, MN 55744 - Phone
- (218) 326-1030
- Fax
- (218) 326-6927
- NPI assigned
- Jun 29, 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 | 3893 | MN | Primary |
Addresses
Primary practice location
Grand Rapids Chiropractic 2610 S Hwy 169
Grand Rapids, MN 55744
Mailing address
Grand Rapids Chiropractic
2610 South Hwy 169
Grand Rapids, MN 55744
Phone (218) 326-1030
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 074K4GR | Other | MN | BLUECROSS/BLUESHIELD |
| 4400388 | Other | MN | MEDICA |
| 596228500 | Medicaid | MN |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grand Rapids Chiropractic | Chiropractor | 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.
-
- Chiropractor
- Grand Rapids, MN
- NPI 1013138346
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151539200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1214179200000",
"number": "1134157290",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "GRAND RAPIDS CHIROPRACTIC",
"address_2": "2610 SOUTH HWY 169",
"city": "GRAND RAPIDS",
"state": "MN",
"postal_code": "55744",
"telephone_number": "218-326-1030",
"fax_number": "218-326-6927"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "GRAND RAPIDS CHIROPRACTIC 2610 S HWY 169",
"city": "GRAND RAPIDS",
"state": "MN",
"postal_code": "55744",
"telephone_number": "218-326-1030",
"fax_number": "218-326-6927"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAUPMANN",
"first_name": "TIMOTHY",
"middle_name": "RAYMOND",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-29",
"last_updated": "2008-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MN",
"license": "3893",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECROSS/BLUESHIELD",
"identifier": "074K4GR",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICA",
"identifier": "4400388",
"state": "MN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "596228500",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Grand Rapids, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.