Individual provider Active NPI

Grant Vlasin, DC

  • Chiropractor
  • Crete, NE
National Provider Identifier
1164874665
Registry record updated Aug 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1899 Issued in NE
Practice address
220 E 13TH St
Crete, NE 68333-2212
Phone
(402) 826-5151
Fax
(402) 803-1052
NPI assigned
Jul 7, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1899 NE Primary

Addresses

Primary practice location

220 E 13TH St
Crete, NE 68333-2212

Mailing address

PO Box 96
Seward, NE 68434-0096
Phone (402) 803-1002

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160804002096 NE Practitioner - Chiropractic 4284928821 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rooted Movement LLCGroup PAC ID 6406215904, 2 clinicians

Practice addresses (Care Compare)

220 E 13TH St
Crete, NE 68333-2212
Phone (402) 826-5151

729 Seward St
Seward, NE 68434-2069
Phone (402) 803-1002

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1899NEMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rooted Movement LLC Chiropractor CurrentSince Apr 11, 2023 Accepting new patients
Turning Point Behavioral Health & Addiction Counseling PC CurrentSince Dec 31, 2023 Accepting new patients

Locations

220 E 13th St
Crete, NE 68333
Phone (402) 826-5151

122 S 4th St
Seward, NE 68434
Phone (402) 643-4244

729 Seward St
Seward, NE 68434
Phone (402) 643-3343

306 S 4th St
Ste 200
Seward, NE 68434
Phone (402) 643-4244

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1467849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693267200000",
    "number": "1164874665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 96",
            "city": "SEWARD",
            "state": "NE",
            "postal_code": "684340096",
            "telephone_number": "402-803-1002",
            "fax_number": "402-803-1052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 E 13TH ST",
            "city": "CRETE",
            "state": "NE",
            "postal_code": "683332212",
            "telephone_number": "402-826-5151",
            "fax_number": "402-803-1052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VLASIN",
        "first_name": "GRANT",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-07-07",
        "last_updated": "2023-08-29",
        "certification_date": "2023-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NE",
            "license": "1899",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crete, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2023; 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.