Bernadette Dolores Grant, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

B-01015 Issued in NV

Practice address

9330 W Flamingo Rd
Suite 112a
Las Vegas, NV 89147-6447

Phone

(702) 696-1444

Fax

(702) 932-6102

NPI assigned

Mar 25, 2006

Last updated

May 21, 2008By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Danny Joe Rutz DC PC

  dba Five Star Family Chiropractic

  • Chiropractor
  • Las Vegas, NV
  • NPI 1750665378
  NPD (past)
• MWT Inc

  dba Accelerated Chiropractic

  • Chiropractor
  • Las Vegas, NV
  • NPI 1487831863
  NPD (past)

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

{
    "created_epoch": "1143244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211328000000",
    "number": "1245290915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9330 W FLAMINGO RD",
            "address_2": "SUITE 112A",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891476447",
            "telephone_number": "702-696-1444",
            "fax_number": "702-932-6102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9330 W FLAMINGO RD",
            "address_2": "SUITE 112A",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891476447",
            "telephone_number": "702-696-1444",
            "fax_number": "702-932-6102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANT",
        "first_name": "BERNADETTE",
        "middle_name": "DOLORES",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-25",
        "last_updated": "2008-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NV",
            "license": "B-01015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Irvin Shuhei Granstrom, MFT-I, CADC-I
• Kailey Jia Xin Granstrom, MFT-I
• Grant a Gift Autism Foundation
• Angel D Grant, CASE MANAGER
• Annastaaejai Grant
• Brejanae Grant
• Camryn Hailee Grant
• Candice Grant
• Carleen Grant
• Christopher Grant

• Chiropractor in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Chiropractor in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 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.