NPIMap

Organization Active NPI

Andrew & Carrie Granger Chiropractic, Inc

Doing business as Polaris Neighborhood Chiropractic

  • Chiropractor
  • Columbus, OH
National Provider Identifier
1265468896
Registry record updated Jul 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
ANDREW & CARRIE GRANGER CHIROPRACTIC, INC
Doing business as
Polaris Neighborhood Chiropractic
Practice address
2115 Polaris Pkwy
Columbus, OH 43240-2022
Phone
(614) 888-3500
Fax
(614) 468-0200
NPI assigned
Jun 24, 2006
Last updated
Jul 2, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2008

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

Authorized official

Name
Carrie Lynn Granger, DCNPI 1376584961
Title
Owner
Phone
(614) 888-3500

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
Chiropractor 111N00000X NU Primary

Addresses

Primary practice location

2115 Polaris Pkwy
Columbus, OH 43240-2022

Mailing address

2115 Polaris Pkwy
Columbus, OH 43240-2022
Phone (614) 888-3500

Other names 1

  • Polaris Neighborhood Chiropractic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050315000313 OH Part B Supplier - Clinic/Group Practice 8921053737 Receives reassigned benefits from 2 practitioners
Practice locations: Columbus, OH

National Provider Directory

National Provider Directory

Locations

2115 Polaris Pkwy
Columbus, OH 43240
Phone (614) 888-3500

Practitioners & affiliated clinicians

Practitioners 18

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1151107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214956800000",
    "number": "1265468896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2115 POLARIS PKWY",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432402022",
            "telephone_number": "614-888-3500",
            "fax_number": "614-468-0200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2115 POLARIS PKWY",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432402022",
            "telephone_number": "614-888-3500",
            "fax_number": "614-468-0200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDREW & CARRIE GRANGER CHIROPRACTIC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-24",
        "last_updated": "2008-07-02",
        "status": "A",
        "authorized_official_last_name": "GRANGER",
        "authorized_official_first_name": "CARRIE",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "614-888-3500",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Polaris Neighborhood Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.