Active NPI
GC Grover BS DC PC
- Chiropractor
- Phoenix, AZ
National Provider Identifier
1306850953
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 3782
- Legal business name
- GC GROVER BS DC PC
- Practice address
- 15420 North 7TH St
Suite B
Phoenix, AZ 85022 - Phone
- (602) 298-0292
- Fax
- (602) 298-6961
- NPI assigned
- Jul 28, 2006
- Last updated
- Jul 17, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Gary Grover
- Title
- President
- Phone
- (602) 298-0292
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 3782 | AZ | Primary |
Addresses
Primary practice location
15420 North 7TH St
Suite B
Phoenix, AZ 85022
Mailing address
15420 North 7TH St
Suite B
Phoenix, AZ 85022
Phone (602) 298-0292
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AZ0249810 | Other | AZ | BCBS OF AZ PROVIDER # |
Other names 1
- Moon Valley Chiropractic
National Provider Directory
National Provider DirectoryLocations
15420 N 7th St
Ste B
Phoenix, AZ 85022
Phone (602) 298-0292
Practitioners & affiliated clinicians
Practitioners 2
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.
-
- Chiropractor
- Phoenix, AZ
- NPI 1437163847
-
- Chiropractor
- Phoenix, AZ
- NPI 1063592111
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154044800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1216252800000",
"number": "1306850953",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15420 NORTH 7TH ST",
"address_2": "SUITE B",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "85022",
"telephone_number": "602-298-0292",
"fax_number": "602-298-6961"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15420 NORTH 7TH ST",
"address_2": "SUITE B",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "85022",
"telephone_number": "602-298-0292",
"fax_number": "602-298-6961"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GC GROVER BS DC PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-28",
"last_updated": "2008-07-17",
"status": "A",
"authorized_official_last_name": "GROVER",
"authorized_official_first_name": "GARY",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "602-298-0292"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "AZ",
"license": "3782",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF AZ PROVIDER #",
"identifier": "AZ0249810",
"state": "AZ"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Moon Valley Chiropractic",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.