Grant Michael Eichstadt, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

5503 Issued in NC

Practice address

5007 Southpark Dr Ste 130
Durham, NC 27713-7739

Phone

(919) 572-2312

Fax

(919) 572-2437

NPI assigned

Jun 9, 2022

Last updated

Jun 9, 2022By 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

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Specialty

Chiropractic

Education

Life Chiropractic College, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Life Clinic of NC PCGroup PAC ID 8921350711, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: angel@presaschiropartners.com

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.

• Life Clinic of NC PC

  dba LifeClinic of Franklin

  • Chiropractor
  • Raleigh, NC
  • NPI 1437650843
  Medicare reassignment Care Compare group NPD
• Chiropractic Partners of Durham PLLC

  • Chiropractor
  • Durham, NC
  • NPI 1174168298
  Medicare reassignment NPD
• Integrated Therapy LLC

  • Physical Therapist
  • Atlanta, GA
  • NPI 1326247248

  Single Specialty

  NPD

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

{
    "created_epoch": "1654732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654732800000",
    "number": "1295464725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5007 SOUTHPARK DR STE 130",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277137739",
            "telephone_number": "919-572-2312",
            "fax_number": "919-572-2437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5007 SOUTHPARK DR STE 130",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277137739",
            "telephone_number": "919-572-2312",
            "fax_number": "919-572-2437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EICHSTADT",
        "first_name": "GRANT",
        "middle_name": "MICHAEL",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-06-09",
        "last_updated": "2022-06-09",
        "certification_date": "2022-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "5503",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "angel@presaschiropartners.com",
            "affiliation": "N",
            "endpointDescription": "email business",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5007 Southpark Dr Ste 130",
            "city": "Durham",
            "state": "NC",
            "country_code": "US",
            "postal_code": "277137739",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Dagmar Ehling, MAC, LAC, DIPL OM
• Miriam Kehinde Ehrensaft, PH.D.
• Matthew Evan Ehrlich, M.D. MPH
• Robert Dennis Eibergen, PHD
• Natalie Zoe Marie Eichner, MD
• Lindsey Eichwald, PHARMD
• Kristina Marie Eilbacher, PA-C, LATC, CSCS
• Eileen Wang DDS PLLC (My Dentist)
• Eileen Wang PLLC
• Lawrence Eimers, PH.D

• Chiropractor in Durham, NC
• Providers in Durham, NC by specialty
• Chiropractor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2022; 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.