Organization Active NPI

Grimes - Bevis Chiropractic, PLLC

  • Chiropractor
  • Savannah, TN
National Provider Identifier
1215119102
Registry record updated Aug 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC0000000687 Issued in TN
Legal business name
GRIMES - BEVIS CHIROPRACTIC, PLLC
Practice address
1940 Pickwick St., South
Savannah, TN 38372
Phone
(731) 925-1196
Fax
(731) 925-1774
NPI assigned
Dec 3, 2007
Last updated
Aug 14, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2009

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

Authorized official

Name
Brent Alan Grimes, DC
Title
Doctor/ Owner
Phone
(731) 925-1196

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC0000000687 TN Primary

Addresses

Primary practice location

1940 Pickwick St., South
Savannah, TN 38372

Mailing address

1940 Pickwick St., South
Savannah, TN 38372
Phone (731) 925-1196

Other names 1

  • Savannah Clinic of Chiropractic Former legal business name

National Provider Directory

National Provider Directory

Locations

1940 Pickwick St
Savannah, TN 38372
Phone 7319251196 ext. 1197

NPI Registry JSON

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

{
    "created_epoch": "1196640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1250208000000",
    "number": "1215119102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1940 PICKWICK ST., SOUTH",
            "city": "SAVANNAH",
            "state": "TN",
            "postal_code": "38372",
            "telephone_number": "731-925-1196",
            "fax_number": "731-925-1196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1940 PICKWICK ST., SOUTH",
            "city": "SAVANNAH",
            "state": "TN",
            "postal_code": "38372",
            "telephone_number": "731-925-1196",
            "fax_number": "731-925-1774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRIMES - BEVIS CHIROPRACTIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-03",
        "last_updated": "2009-08-14",
        "status": "A",
        "authorized_official_last_name": "GRIMES",
        "authorized_official_first_name": "BRENT",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "DOCTOR/ OWNER",
        "authorized_official_telephone_number": "731-925-1196",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TN",
            "license": "DC0000000687",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Savannah Clinic of Chiropractic",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Savannah, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2009; 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.