Active NPI
Brent Grover
- Chiropractor
- Boynton Beach, FL
National Provider Identifier
1245766567
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH 12174
- Practice address
- 3717 W Boynton Beach Blvd Ste 9
Boynton Beach, FL 33436-4540 - Phone
- (561) 810-4494
- Fax
- (561) 810-4407
- NPI assigned
- May 5, 2017
- 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 | CH 12174 | FL | Primary |
Addresses
Primary practice location
3717 W Boynton Beach Blvd Ste 9
Boynton Beach, FL 33436-4540
Mailing address
3717 W Boynton Beach Blvd Ste 9
Boynton Beach, FL 33436-4540
Phone (561) 810-4494
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CH 12174 | FL | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1493942400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1493942400000",
"number": "1245766567",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3717 W BOYNTON BEACH BLVD STE 9",
"city": "BOYNTON BEACH",
"state": "FL",
"postal_code": "334364540",
"telephone_number": "561-810-4494",
"fax_number": "561-810-4407"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3717 W BOYNTON BEACH BLVD STE 9",
"city": "BOYNTON BEACH",
"state": "FL",
"postal_code": "334364540",
"telephone_number": "561-810-4494",
"fax_number": "561-810-4407"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GROVER",
"first_name": "BRENT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-05-05",
"last_updated": "2017-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "FL",
"license": "CH 12174",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boynton Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 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.