NPIMap

Organization Active NPI

Grace Chiropractic Center, Inc.

  • Chiropractor
  • Cabot, AR
National Provider Identifier
1285792366
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1674 Issued in AR
Legal business name
GRACE CHIROPRACTIC CENTER, INC.
Practice address
309 W Main St
Cabot, AR 72023-2911
Phone
(501) 941-3008
Fax
(501) 941-3007
NPI assigned
Dec 4, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Timothy Clay Gross, D.C.NPI 1831150283
Title
Owner
Phone
(501) 941-3008

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1674 AR Primary

Addresses

Primary practice location

309 W Main St
Cabot, AR 72023-2911

Mailing address

PO Box 688
Cabot, AR 72023-0688
Phone (501) 941-3008

Other identifiers 4

IdentifierTypeStateIssuer
06060023300OtherARQUAL CHOICE
5Y850OtherARBLUE CROSS BLUE SHEILD
7172792OtherARAETNA
5032683OtherARCIGNA

National Provider Directory

National Provider Directory

Locations

309 W Main St
Cabot, AR 72023
Phone (501) 259-4003

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1285792366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 688",
            "city": "CABOT",
            "state": "AR",
            "postal_code": "720230688",
            "telephone_number": "501-941-3008",
            "fax_number": "501-941-3007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 W MAIN ST",
            "city": "CABOT",
            "state": "AR",
            "postal_code": "720232911",
            "telephone_number": "501-941-3008",
            "fax_number": "501-941-3007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE CHIROPRACTIC CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GROSS",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "CLAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "501-941-3008",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AR",
            "license": "1674",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "QUAL CHOICE",
            "identifier": "06060023300",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHEILD",
            "identifier": "5Y850",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7172792",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "5032683",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cabot, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.