Nicholas Anthony Grande, D.C.

Primary specialty

Rehabilitation ChiropractorTaxonomy code 111NR0400X

License

S01909-PT Issued in MD

Practice address

2411 Crofton LN Ste 14a
Suite 14a
Crofton, MD 21114-1336

Phone

(410) 451-9870

Fax

(410) 451-9872

NPI assigned

May 19, 2006

Last updated

Apr 23, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 5

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Specialty

Chiropractic

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Grande Chiropractic LLC

  dba Grande Chiropractic Clinic

  • Chiropractor
  • Crofton, MD
  • NPI 1033141890
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619136000000",
    "number": "1144274994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2411 CROFTON LN STE 7B",
            "address_2": "SUITE 7B",
            "city": "CROFTON",
            "state": "MD",
            "postal_code": "211141323",
            "telephone_number": "410-451-9870",
            "fax_number": "410-451-9872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2411 CROFTON LN STE 14A",
            "address_2": "SUITE 14A",
            "city": "CROFTON",
            "state": "MD",
            "postal_code": "211141336",
            "telephone_number": "410-451-9870",
            "fax_number": "410-451-9872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANDE",
        "first_name": "NICHOLAS",
        "middle_name": "ANTHONY",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-19",
        "last_updated": "2021-04-23",
        "certification_date": "2021-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MD",
            "license": "S01909 PT",
            "primary": false
        },
        {
            "code": "111NN0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Neurology",
            "state": "MD",
            "license": "S01909-PT",
            "primary": false
        },
        {
            "code": "111NX0100X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Occupational Health",
            "state": "MD",
            "license": "S01909-PT",
            "primary": false
        },
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "MD",
            "license": "S01909-PT",
            "primary": true
        },
        {
            "code": "111NI0013X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Independent Medical Examiner",
            "state": "MD",
            "license": "S01909-PT",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Golden Homecare LLC
• Montia Lorenz Golette-Lewis, PA-C
• Jaimia Sade Goodwin
• Michaela Ryanne Graham
• Grande Chiropractic LLC (Grande Chiropractic Clinic)
• Judith Ann Grandin, CRNP
• Thomas Graves
• Greener Pastures Care Services, LLC
• Dana Rae Greiss, OD
• Megan Grey

• Rehabilitation Chiropractor in Crofton, MD
• Providers in Crofton, MD by specialty
• Rehabilitation Chiropractor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2021; 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.

Verify at the official NPI Registry.