Active NPI
Nathan Edward Grinder, D.C.
- Chiropractor
- Chandler, AZ
National Provider Identifier
1164726717
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 8174
- Practice address
- 2815 E Ocotillo Rd Ste 4
Chandler, AZ 85249-6040 - Phone
- (480) 781-2964
- Fax
- (480) 809-4988
- NPI assigned
- Dec 22, 2010
- Last updated
- May 10, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 8174 | AZ | Primary |
| Sports Physician Chiropractor | 111NS0005X | 8174 | AZ | |
| Rehabilitation Chiropractor | 111NR0400X | 8174 | AZ |
Addresses
Primary practice location
2815 E Ocotillo Rd Ste 4
Chandler, AZ 85249-6040
Mailing address
4337 E Amber LN
Gilbert, AZ 85296-1585
Phone (602) 430-4486
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Life Chiropractic College - West, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2815 E Ocotillo Rd
Suite 4
Chandler, AZ 85249-6040
Phone (480) 926-7800
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8174 | AZ | MD | Sports Physician Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ocotillo Medical Group LLC | Chiropractor | Current | Accepting new patients |
| Ocotillo Health Centers, LLC | Chiropractor | Past | Accepting new patients |
Locations
2815 E Ocotillo Rd
Ste 4
Chandler, AZ 85249
Phone (480) 781-2964
Organizations & group practices 2
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1292976000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1620604800000",
"number": "1164726717",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4337 E AMBER LN",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852961585",
"telephone_number": "602-430-4486",
"fax_number": "480-809-4988"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2815 E OCOTILLO RD STE 4",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "852496040",
"telephone_number": "480-781-2964",
"fax_number": "480-809-4988"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRINDER",
"first_name": "NATHAN",
"middle_name": "EDWARD",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-12-22",
"last_updated": "2021-05-10",
"certification_date": "2021-05-10",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "AZ",
"license": "8174",
"primary": true
},
{
"code": "111NS0005X",
"taxonomy_group": "",
"desc": "Chiropractor, Sports Physician",
"state": "AZ",
"license": "8174",
"primary": false
},
{
"code": "111NR0400X",
"taxonomy_group": "",
"desc": "Chiropractor, Rehabilitation",
"state": "AZ",
"license": "8174",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chandler, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 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.