Individual provider Active NPI

Paul Andre Grindstaff Jr., D.C.

  • Chiropractor
  • Dallas, TX
National Provider Identifier
1235157520
Registry record updated Feb 15, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
8044 Issued in TX
Practice address
6711 W Northwest Hwy
Dallas, TX 75225-4201
Phone
(214) 369-4777
NPI assigned
Jul 17, 2006
Last updated
Feb 15, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 8044 TX Primary

Addresses

Primary practice location

6711 W Northwest Hwy
Dallas, TX 75225-4201

Mailing address

6711 W Northwest Hwy
Dallas, TX 75225-4201
Phone (214) 938-1252

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

LicenseStateTypeSpecialty
8044TXMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Lifeguard Family Health L.L.C. Chiropractor Past Accepting new patients
Dove Pointe Chiropractic Clinic, Inc Chiropractor Past Accepting new patients
Optimum Spine and Rehab, Inc Chiropractor PastSince Jun 28, 2010 Accepting new patients

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487116800000",
    "number": "1235157520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6711 W NORTHWEST HWY",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752254201",
            "telephone_number": "214-938-1252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6711 W NORTHWEST HWY",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752254201",
            "telephone_number": "214-369-4777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRINDSTAFF",
        "first_name": "PAUL",
        "middle_name": "ANDRE",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2017-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "8044",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2017; 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.