Organization Active NPI

Grant Chiropractic Center, Inc

  • Clinic/Center
  • Columbia, KY
National Provider Identifier
1225210420
Registry record updated Aug 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
4303 Issued in KY
Legal business name
GRANT CHIROPRACTIC CENTER, INC
Practice address
908 Russell Rd
Columbia, KY 42728-1036
Phone
(270) 384-3271
Fax
(270) 384-3271
NPI assigned
Nov 29, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2014

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

Authorized official

Name
Dr. Anthony Grant, D.C.NPI 1013003631
Title
Owner/President
Phone
(270) 384-3271

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 4303 KY Primary

Addresses

Primary practice location

908 Russell Rd
Columbia, KY 42728-1036

Mailing address

908 Russell Rd
Columbia, KY 42728-1036
Phone (270) 384-3271

Other identifiers 2

IdentifierTypeStateIssuer
000000330968OtherKYBLUE CROSS AND BLUE SHIEL
85900413MedicaidKY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040514000671 KY Part B Supplier - Clinic/Group Practice 1557351251 Receives reassigned benefits from 1 practitioner
Practice locations: Columbia, KY

National Provider Directory

National Provider Directory

Locations

908 Russell Rd
Columbia, KY 42728
Phone (270) 384-3270

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1196294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407456000000",
    "number": "1225210420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "908 RUSSELL RD",
            "city": "COLUMBIA",
            "state": "KY",
            "postal_code": "427281036",
            "telephone_number": "270-384-3271",
            "fax_number": "270-384-3271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "908 RUSSELL RD",
            "city": "COLUMBIA",
            "state": "KY",
            "postal_code": "427281036",
            "telephone_number": "270-384-3271",
            "fax_number": "270-384-3271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRANT CHIROPRACTIC CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-29",
        "last_updated": "2014-08-08",
        "status": "A",
        "authorized_official_last_name": "GRANT",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "270-384-3271",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "KY",
            "license": "4303",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS AND BLUE SHIEL",
            "identifier": "000000330968",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "85900413",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2014; 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.