Organization Active NPI

Eric a Graves Inc

Doing business as Graves Chiropractic

  • Clinic/Center
  • Westminster, CO
National Provider Identifier
1144419474
Registry record updated Sep 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
4525 Issued in CO
Legal business name
ERIC A GRAVES INC
Doing business as
Graves Chiropractic
Practice address
4257 Main Street
Suite 210
Westminster, CO 80031-0000
Phone
(303) 635-0211
Fax
(303) 469-1116
NPI assigned
Oct 23, 2007
Last updated
Sep 19, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2008

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

Authorized official

Name
Dr. Eric Anthony Graves, DCNPI 1679668131
Title
Owner
Phone
(303) 635-0211

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 4525 CO Primary

Addresses

Primary practice location

4257 Main Street
Suite 210
Westminster, CO 80031-0000

Mailing address

4257 Main Street
Suite 210
Westminster, CO 80031
Phone (303) 635-0211

Other identifiers 1

IdentifierTypeStateIssuer
C502578OtherCOMEDICARE GROUP

Other names 1

  • Graves Chiropractic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040313000795 CO Part B Supplier - Clinic/Group Practice 7113816406 Receives reassigned benefits from 1 practitioner
Practice locations: Westminster, CO

National Provider Directory

National Provider Directory

Locations

7105 W 119th Pl
Broomfield, CO 80020
Phone (303) 635-0211

4257 Main St
Unit 210
Westminster, CO 80031
Phone (303) 635-0211

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1193097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221782400000",
    "number": "1144419474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4257 MAIN STREET",
            "address_2": "SUITE 210",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "80031",
            "telephone_number": "303-635-0211",
            "fax_number": "303-469-1116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4257 MAIN STREET",
            "address_2": "SUITE 210",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "800310000",
            "telephone_number": "303-635-0211",
            "fax_number": "303-469-1116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERIC A GRAVES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-23",
        "last_updated": "2008-09-19",
        "status": "A",
        "authorized_official_last_name": "GRAVES",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-635-0211",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "CO",
            "license": "4525",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP",
            "identifier": "C502578",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Graves Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Westminster, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.