Grose Chiropractic Enterprises PLLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

GROSE CHIROPRACTIC ENTERPRISES PLLC

Practice address

118 Taylor LN
Ronceverte, WV 24970-1337

Phone

(304) 645-6524

Fax

(304) 645-6527

NPI assigned

Oct 27, 2020

Last updated

Mar 3, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mathew Walton Grose, DCNPI 1831339498

Title

Owner

Phone

(304) 645-6524

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WV

Enrollment records 1

Locations

Practitioners 2

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.

• Mathew Walton Grose, D.C.

  • Chiropractor
  • Ronceverte, WV
  • NPI 1831339498
  Medicare reassignment NPD Authorized official
• Vincent Edward Wardlow, DC

  • Chiropractor
  • Ronceverte, WV
  • NPI 1144309444
  NPD (past)

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

{
    "created_epoch": "1603756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677801600000",
    "number": "1174123418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 TAYLOR LN",
            "city": "RONCEVERTE",
            "state": "WV",
            "postal_code": "249701337",
            "telephone_number": "304-645-6524",
            "fax_number": "304-645-6527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 TAYLOR LN",
            "city": "RONCEVERTE",
            "state": "WV",
            "postal_code": "249701337",
            "telephone_number": "304-645-6524",
            "fax_number": "304-645-6527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GROSE CHIROPRACTIC ENTERPRISES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-27",
        "last_updated": "2023-03-03",
        "certification_date": "2023-03-03",
        "status": "A",
        "authorized_official_last_name": "GROSE",
        "authorized_official_first_name": "MATHEW",
        "authorized_official_middle_name": "WALTON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "304-645-6524",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Greenbrier VMC LLC (Greenbrier Valley Medical Center)
• Greenbrier VMC LLC (Greenbrier Valley Medical Center)
• Greenbrier VMC, LLC (Greenbrier Valley Medical Center)
• Eleonora I Grey, DO
• Ashley A Griffith
• Mathew Walton Grose, D.C.
• Lucas Guet
• Amber Guthrie
• H Richard Marshall Jr DDS Inc
• Robert A. Haas, DPT

• Chiropractor in Ronceverte, WV
• Providers in Ronceverte, WV by specialty
• Chiropractor in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2023; 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.