Organization Active NPI

Grove Street Chiropractic, Inc.

  • Chiropractor
  • Worcester, MA
National Provider Identifier
1235447822
Registry record updated Sep 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1989 Issued in MA
Legal business name
GROVE STREET CHIROPRACTIC, INC.
Practice address
1 W Boylston St
LL03
Worcester, MA 01605-1265
Phone
(508) 797-3200
NPI assigned
Sep 17, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2010

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

Authorized official

Name
Dr. Paul GrenierNPI 1962503938
Title
President
Phone
(508) 797-3200

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 1989 MA Primary

Addresses

Primary practice location

1 W Boylston St
LL03
Worcester, MA 01605-1265

Mailing address

1 W Boylston St
LL03
Worcester, MA 01605-1265

National Provider Directory

National Provider Directory

Locations

1 W Boylston St
Ste LL03
Worcester, MA 01605
Phone (508) 797-3200

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": "1284681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284681600000",
    "number": "1235447822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 W BOYLSTON ST",
            "address_2": "LL03",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016051265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 W BOYLSTON ST",
            "address_2": "LL03",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016051265",
            "telephone_number": "508-797-3200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GROVE STREET CHIROPRACTIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-17",
        "last_updated": "2010-09-17",
        "status": "A",
        "authorized_official_last_name": "GRENIER",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "508-797-3200",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MA",
            "license": "1989",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Worcester, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2010; 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.