NPIMap

Organization Active NPI

Grieves Chiropractic

  • Clinic/Center
  • Shawano, WI
National Provider Identifier
1255641601
Registry record updated Nov 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
3738-012 Issued in WI
Legal business name
GRIEVES CHIROPRACTIC
Practice address
116 N Main St
Shawano, WI 54166-2356
Phone
(715) 524-8722
NPI assigned
Oct 19, 2010
Reactivated
Nov 29, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2024

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

Authorized official

Name
Dr. Brian Grieves, DCNPI 1588606966
Title
Owner
Phone
(715) 524-8722

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
Clinic/Center 261Q00000X 3738-012 WI Primary

Addresses

Primary practice location

116 N Main St
Shawano, WI 54166-2356

Mailing address

116 N Main St
Shawano, WI 54166-2356

Other identifiers 1

IdentifierTypeStateIssuer
38934000MedicaidWI

National Provider Directory

National Provider Directory

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": "1287446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732838400000",
    "number": "1255641601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 N MAIN ST",
            "city": "SHAWANO",
            "state": "WI",
            "postal_code": "541662356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 N MAIN ST",
            "city": "SHAWANO",
            "state": "WI",
            "postal_code": "541662356",
            "telephone_number": "715-524-8722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRIEVES CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-19",
        "last_updated": "2024-11-29",
        "deactivation_date": "2017-08-23",
        "reactivation_date": "2024-11-29",
        "status": "A",
        "authorized_official_last_name": "GRIEVES",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "715-524-8722",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "WI",
            "license": "3738-012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38934000",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Shawano, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2024; 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.