Grant Chiropractic Clinic, Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

08001545 Issued in IN

Legal business name

GRANT CHIROPRACTIC CLINIC, INC

Practice address

451 Pine Lake Ave
La Porte, IN 46350-2314

Phone

(219) 362-3766

Fax

(219) 325-8715

NPI assigned

Jan 18, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Mark Grant, D.C.

Title

President

Phone

(219) 362-3766

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198108800000",
    "number": "1144372939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "451 PINE LAKE AVE",
            "city": "LA PORTE",
            "state": "IN",
            "postal_code": "463502314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "451 PINE LAKE AVE",
            "city": "LA PORTE",
            "state": "IN",
            "postal_code": "463502314",
            "telephone_number": "219-362-3766",
            "fax_number": "219-325-8715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRANT CHIROPRACTIC CLINIC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-18",
        "last_updated": "2007-12-20",
        "status": "A",
        "authorized_official_last_name": "GRANT",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "219-362-3766",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08001545",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100385070A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert Mark Grace, DDS
• Susan K Grace, NP
• James Lewis Grainger, M.D.
• Grandfield Foot and Ankle P.C.
• Christopher S Grandfield, DPM
• Mark Charles Grant
• Denise Doris Grasser, LCSW
• Taylor Ann Green
• Paula J Gring, O.D.
• Gurrola Chiropractic Family Health Care, P.C.

• Chiropractor in La Porte, IN
• Providers in La Porte, IN by specialty
• Chiropractor in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2007; 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.