Veloce Spine & Sport

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

VELOCE SPINE & SPORT

Practice address

101 Lealand LN Ste C
Lebanon, TN 37087-2025

Phone

(814) 341-2128

NPI assigned

Sep 29, 2023

Last updated

Sep 29, 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

Gavin Grimaldi, DCNPI 1245944388

Title

Owner

Phone

(814) 341-2128

Specialties & licenses 1

Addresses

Electronic endpoints 1

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.

• Gavin Grimaldi, D.C.

  • Chiropractor
  • Lebanon, TN
  • NPI 1245944388
  NPD Authorized official

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

{
    "created_epoch": "1695945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695945600000",
    "number": "1225818024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 LEALAND LN STE C",
            "city": "LEBANON",
            "state": "TN",
            "postal_code": "370872025",
            "telephone_number": "814-341-2128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 LEALAND LN STE C",
            "city": "LEBANON",
            "state": "TN",
            "postal_code": "370872025",
            "telephone_number": "814-341-2128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VELOCE SPINE & SPORT",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-29",
        "last_updated": "2023-09-29",
        "certification_date": "2023-09-29",
        "status": "A",
        "authorized_official_last_name": "GRIMALDI",
        "authorized_official_first_name": "GAVIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "814-341-2128",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "velocespineandsport.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "101 Lealand Ln Ste C",
            "city": "Lebanon",
            "state": "TN",
            "country_code": "US",
            "postal_code": "370872025",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Chiropractor in Lebanon, TN
• Providers in Lebanon, TN by specialty
• Chiropractor in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2023; 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.