Crystal Dawn Grunewald Dispain

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MT103989 Issued in TX

Practice address

5815 Royal RDG
San Antonio, TX 78239-1404

Phone

(210) 386-1314

NPI assigned

Sep 30, 2022

Last updated

Sep 30, 2022By 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)

Not enrolled

State licenses

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

{
    "created_epoch": "1664496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664496000000",
    "number": "1245954494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5815 ROYAL RDG",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782391404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5815 ROYAL RDG",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782391404",
            "telephone_number": "210-386-1314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRUNEWALD DISPAIN",
        "first_name": "CRYSTAL",
        "middle_name": "DAWN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-30",
        "last_updated": "2022-09-30",
        "certification_date": "2022-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "TX",
            "license": "MT103989",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gruenepointe 1 River City, LLC (River City Care Center)
• Larry Gene Gruetzmacher, PHARMACIST
• Karla Grullon
• Wendie Iris Grunberg, D.O.
• Gruner Lowe Therapy
• Dawnelle Nicole Grunewald, RN
• Avie Avshalom Grunspan, MD
• Kassondra Suzanne Grzankowski, M.D.
• Kathleen Ellen Grzybowski, RN
• Gsgnm, PLLC

• Massage Therapist in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Massage Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2022; 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.