Individual provider Active NPI

William Frank Grubbs, DC

  • Chiropractor
  • Carrollton, OH
National Provider Identifier
1265448047
Registry record updated Dec 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2687 Issued in OH
Practice address
713 Canton Rd NW
Carrollton, OH 44615-9447
Phone
(330) 627-4745
Fax
(330) 627-9767
NPI assigned
Jul 31, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 2, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2687 OH Primary

Addresses

Primary practice location

713 Canton Rd NW
Carrollton, OH 44615-9447

Mailing address

PO Box 56
Carrollton, OH 44615-0056
Phone (330) 627-4745

Other identifiers 1

IdentifierTypeStateIssuer
2091829MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040317000415 OH Practitioner - Chiropractic 1254220478 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Grubbs Family Chiropractic Inc.Group PAC ID 0547159865, 2 clinicians

Practice addresses (Care Compare)

840 E Park Ave
Columbiana, OH 44408-1456
Phone (330) 482-5255

PO Box
Suite 56
Carrollton, OH 44615

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2687OHMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Grubbs Family Chiropractic Inc. Chiropractor CurrentSince Mar 29, 2004 Accepting new patients

Locations

713 Canton Rd NW
Carrollton, OH 44615
Phone (330) 627-0050

840 E Park Ave
Columbiana, OH 44408
Phone (330) 482-5255

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1385942400000",
    "number": "1265448047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 56",
            "city": "CARROLLTON",
            "state": "OH",
            "postal_code": "446150056",
            "telephone_number": "330-627-4745",
            "fax_number": "330-627-9767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "713 CANTON RD NW",
            "city": "CARROLLTON",
            "state": "OH",
            "postal_code": "446159447",
            "telephone_number": "330-627-4745",
            "fax_number": "330-627-9767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRUBBS",
        "first_name": "WILLIAM",
        "middle_name": "FRANK",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2013-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "2687",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2091829",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Carrollton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.