Organization Active NPI

G.R.I.T. Chiropractic and Rehab LLC

  • Chiropractor
  • Boulder, CO
National Provider Identifier
1336738962
Registry record updated Jan 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
G.R.I.T. CHIROPRACTIC AND REHAB LLC
Practice address
2897 Mapleton Ave Ste 700
Boulder, CO 80301-1112
Phone
(720) 713-9516
NPI assigned
Jan 18, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2021

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

Authorized official

Name
Casey CampbellNPI 1770123689
Title
Owner/Chiropractor
Phone
(720) 713-9516

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

2897 Mapleton Ave Ste 700
Boulder, CO 80301-1112

Mailing address

1630 20TH St
Boulder, CO 80302-6570
Phone (810) 908-2755

National Provider Directory

National Provider Directory

Locations

2897 Mapleton Ave
Ste 700
Boulder, CO 80301
Phone (720) 713-9516

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1610928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610928000000",
    "number": "1336738962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1630 20TH ST",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803026570",
            "telephone_number": "810-908-2755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2897 MAPLETON AVE STE 700",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803011112",
            "telephone_number": "720-713-9516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "G.R.I.T. CHIROPRACTIC AND REHAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-18",
        "last_updated": "2021-01-18",
        "certification_date": "2021-01-18",
        "status": "A",
        "authorized_official_last_name": "CAMPBELL",
        "authorized_official_first_name": "CASEY",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTOR",
        "authorized_official_telephone_number": "720-713-9516"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boulder, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2021; 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.