Organization Active NPI

Grieb Chiropractic Clinic

  • Chiropractor
  • Wexford, PA
National Provider Identifier
1225303613
Registry record updated Mar 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC005322L Issued in PA
Legal business name
GRIEB CHIROPRACTIC CLINIC
Practice address
11885 Perry Hwy
Wexford, PA 15090-8343
Phone
(724) 935-6050
Fax
(724) 935-6071
NPI assigned
Mar 19, 2012
Last updated
Mar 19, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2012

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

Authorized official

Name
Eric William Grieb, DCNPI 1750336558
Title
Chiropractor
Phone
(724) 935-6050

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X DC005322L PA Primary

Addresses

Primary practice location

11885 Perry Hwy
Wexford, PA 15090-8343

Mailing address

11885 Perry Hwy
Wexford, PA 15090-8343
Phone (724) 935-6050

Other identifiers 1

IdentifierTypeStateIssuer
0015546940002MedicaidPA

National Provider Directory

National Provider Directory

Locations

11885 Perry Hwy
Wexford, PA 15090
Phone (724) 316-2485

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": "1332115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332115200000",
    "number": "1225303613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11885 PERRY HWY",
            "city": "WEXFORD",
            "state": "PA",
            "postal_code": "150908343",
            "telephone_number": "724-935-6050",
            "fax_number": "724-935-6071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11885 PERRY HWY",
            "city": "WEXFORD",
            "state": "PA",
            "postal_code": "150908343",
            "telephone_number": "724-935-6050",
            "fax_number": "724-935-6071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRIEB CHIROPRACTIC CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-19",
        "last_updated": "2012-03-19",
        "status": "A",
        "authorized_official_last_name": "GRIEB",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "724-935-6050",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC005322L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0015546940002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wexford, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2012; 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.