Simon Groseclose, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

10421 Issued in FL

Practice address

10335 Cross Creek Blvd Ste 9
Tampa, FL 33647-2794

Phone

(813) 358-1994

Fax

(813) 200-2017

NPI assigned

Oct 6, 2011

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Simon Groseclose DC LLCGroup PAC ID 3779850912, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Simon Groseclose DC LLC

  • Internal Medicine Physician
  • Wesley Chapel, FL
  • NPI 1275073710
  Medicare reassignment Care Compare group Authorized official

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

{
    "created_epoch": "1317859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1512604800000",
    "number": "1215211412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10335 CROSS CREEK BLVD STE 9",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336472794",
            "telephone_number": "410-271-3927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10335 CROSS CREEK BLVD STE 9",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336472794",
            "telephone_number": "813-358-1994",
            "fax_number": "813-200-2017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROSECLOSE",
        "first_name": "SIMON",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-10-06",
        "last_updated": "2017-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "10421",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH10421",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Craig Gronau, LAT, ATC
• Samantha Tara Magdalena Groom-Sheddler
• Analeigh Groomes
• Dominic Q Grooms
• Wondra C Grooms
• Emma Groskind, LCSW
• Amanda Gross, PA-C
• Amy Christensen Gross, MS CCC SLP
• Courtney Gross, PHARMD, BCPS
• Kristen Gross, APRN

• Chiropractor in Tampa, FL
• Providers in Tampa, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2017; 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.