Gavin Grimaldi, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3675 Issued in TN

Practice address

101 Lealand LN Ste C
Lebanon, TN 37087-2025

Phone

(814) 341-2128

NPI assigned

Jan 12, 2023

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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 and National Provider Directory roles.

• Veloce Spine & Sport

  • Chiropractor
  • Lebanon, TN
  • NPI 1225818024
  NPD Authorized official

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

{
    "created_epoch": "1673481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694476800000",
    "number": "1245944388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "830 DEAN DR",
            "city": "MOUNT JULIET",
            "state": "TN",
            "postal_code": "371224393",
            "telephone_number": "814-341-2128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 LEALAND LN STE C",
            "city": "LEBANON",
            "state": "TN",
            "postal_code": "370872025",
            "telephone_number": "814-341-2128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIMALDI",
        "first_name": "GAVIN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-01-12",
        "last_updated": "2023-09-12",
        "certification_date": "2023-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TN",
            "license": "3675",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.velocespineandsport.com/",
            "affiliation": "N",
            "address_1": "101 Lealand Ln Ste C",
            "city": "Lebanon",
            "state": "TN",
            "country_code": "US",
            "postal_code": "370872025",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Gregory Dental Group
• Gregory H Dodson
• Derrick B Gregory, D.M.D.
• Sara Gregory
• William Winter Griffin, PTA
• Jason Grindstaff, PHD, LPC-MHSP
• Jessikah Grisham, RBT
• Justin Groce, APRN
• Leslie S Grogan
• Kelly Grooms, RBT

• Chiropractor in Lebanon, TN
• Providers in Lebanon, TN by specialty
• Chiropractor in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2023; 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.