NPIMap

Organization Active NPI

Gordon H Grannis, D.C., a Chiropractic Professional Corporation

Doing business as Grannis Chiropractic Clinic

  • Chiropractor
  • Aliso Viejo, CA
National Provider Identifier
1235241944
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC12688 Issued in CA
Legal business name
GORDON H GRANNIS, D.C., A CHIROPRACTIC PROFESSIONAL CORPORATION
Doing business as
Grannis Chiropractic Clinic
Practice address
24541 Pacific Park Dr Ste 290
Aliso Viejo, CA 92656-3058
Phone
(949) 448-8599
Fax
(949) 448-8595
NPI assigned
Aug 31, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2008

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

Authorized official

Name
Dr. Gordon Harriman Grannis, D.C.
Title
President
Phone
(949) 448-8599

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X DC12688 CA Primary

Addresses

Primary practice location

24541 Pacific Park Dr Ste 290
Aliso Viejo, CA 92656-3058

Mailing address

24541 Pacific Park Dr Ste 290
Aliso Viejo, CA 92656-3058
Phone (949) 448-8599

Other identifiers 1

IdentifierTypeStateIssuer
1104849793OtherCANPI FOR GORDON GRANNIS

Other names 1

  • Grannis Chiropractic Clinic Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1235241944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24541 PACIFIC PARK DR STE 290",
            "city": "ALISO VIEJO",
            "state": "CA",
            "postal_code": "926563058",
            "telephone_number": "949-448-8599",
            "fax_number": "949-448-8595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24541 PACIFIC PARK DR STE 290",
            "city": "ALISO VIEJO",
            "state": "CA",
            "postal_code": "926563058",
            "telephone_number": "949-448-8599",
            "fax_number": "949-448-8595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GORDON H GRANNIS, D.C., A CHIROPRACTIC PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "GRANNIS",
        "authorized_official_first_name": "GORDON",
        "authorized_official_middle_name": "HARRIMAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-448-8599",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC12688",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI FOR GORDON GRANNIS",
            "identifier": "1104849793",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Grannis Chiropractic Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Aliso Viejo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; 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.