Daniel V Grunert, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038007034 Issued in IL

Practice address

127 Capista Dr
Shorewood, IL 60404-8551

Phone

(815) 609-6150

Fax

(219) 203-2925

NPI assigned

Sep 2, 2005

Last updated

Nov 6, 2014By the provider in NPPES

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

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Specialty

Chiropractic

Education

National College of Chiropractic, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Community Chiropractic Corp.

  • Chiropractor
  • Shorewood, IL
  • NPI 1740274927
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1125619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415232000000",
    "number": "1285628479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 CAPISTA DR",
            "city": "SHOREWOOD",
            "state": "IL",
            "postal_code": "604048551",
            "telephone_number": "815-609-6150",
            "fax_number": "219-203-2925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 CAPISTA DR",
            "city": "SHOREWOOD",
            "state": "IL",
            "postal_code": "604048551",
            "telephone_number": "815-609-6150",
            "fax_number": "219-203-2925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRUNERT",
        "first_name": "DANIEL",
        "middle_name": "V",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-02",
        "last_updated": "2014-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038007034",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "04915367",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONAL PROVIDER IDENTIFIER",
            "identifier": "1285628479",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Justin Gerkin, PTA
• Giana Giermala, MS, LAT, ATC
• Ashley Godawski
• Gary W. Golden, D.O.
• Alexander Grabavoy, DDS
• James D Haavig, OTR
• John Paul Ham, PHYSICIAN ASSISTANT
• Corine Elizabeth Hamilton
• Cheryl Patrice Harris, APN FNP
• Johnie L Harris Jr.

• Chiropractor in Shorewood, IL
• Providers in Shorewood, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2014; 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.