Active NPI
Gregory C. Haitz, DC
- Chiropractor
- Grand Junction, CO
National Provider Identifier
1235124439
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 5535
- Practice address
- 1133 Patterson Rd
Suite 3
Grand Junction, CO 81506-8854 - Phone
- (970) 243-1388
- Fax
- (970) 243-1572
- NPI assigned
- Sep 13, 2005
- Last updated
- Aug 17, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 5535 | CO | Primary |
Addresses
Primary practice location
1133 Patterson Rd
Suite 3
Grand Junction, CO 81506-8854
Mailing address
1133 Patterson Rd
Suite 3
Grand Junction, CO 81506-8854
Phone (970) 243-1388
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5535 | CO | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Monument Physiatry, PC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126569600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1313539200000",
"number": "1235124439",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1133 PATTERSON RD",
"address_2": "SUITE 3",
"city": "GRAND JUNCTION",
"state": "CO",
"postal_code": "815068854",
"telephone_number": "970-243-1388",
"fax_number": "970-243-1572"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1133 PATTERSON RD",
"address_2": "SUITE 3",
"city": "GRAND JUNCTION",
"state": "CO",
"postal_code": "815068854",
"telephone_number": "970-243-1388",
"fax_number": "970-243-1572"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAITZ",
"first_name": "GREGORY",
"middle_name": "C.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-13",
"last_updated": "2011-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CO",
"license": "5535",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Grand Junction, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.