Individual provider Active NPI

Christine Lynn Grassel, D.C.

  • Chiropractor
  • Shelby, OH
National Provider Identifier
1134494552
Registry record updated Aug 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3297 Issued in OH
Practice address
177 W Main St
Shelby, OH 44875-1439
Phone
(419) 342-3473
NPI assigned
Mar 19, 2012
Reactivated
Aug 5, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 7, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3297 OH Primary

Addresses

Primary practice location

177 W Main St
Shelby, OH 44875-1439

Mailing address

177 W Main St
Shelby, OH 44875-1439
Phone (419) 342-3473

Other names 1

  • Mrs. Christine Lynn Dunlap Former name

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)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Fackler Family Chiropractic, LLC Chiropractor PastSince Jun 1, 2004 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.

NPI Registry JSON

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

{
    "created_epoch": "1332115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596758400000",
    "number": "1134494552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "177 W MAIN ST",
            "city": "SHELBY",
            "state": "OH",
            "postal_code": "448751439",
            "telephone_number": "419-342-3473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "177 W MAIN ST",
            "city": "SHELBY",
            "state": "OH",
            "postal_code": "448751439",
            "telephone_number": "419-342-3473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRASSEL",
        "first_name": "CHRISTINE",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-03-19",
        "last_updated": "2020-08-07",
        "certification_date": "2020-08-07",
        "deactivation_date": "2012-12-17",
        "reactivation_date": "2020-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "3297",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTINE",
            "last_name": "DUNLAP",
            "middle_name": "LYNN",
            "prefix": "MRS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Shelby, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2020; 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.