Individual provider Active NPI

Carol Evelyn Grennan, DC, DACBN, CCN

  • Chiropractor
  • Irving, TX
National Provider Identifier
1346250602
Registry record updated Dec 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
6435 Issued in TX
Practice address
7447 N Macarthur Blvd
Suite 180
Irving, TX 75063-7509
Phone
(972) 253-1500
Fax
(972) 253-1505
NPI assigned
Aug 9, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2016

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 6435 TX Primary
Nutrition Chiropractor 111NN1001X 6435 TX
Nutrition Education Nutritionist 133NN1002X BOARD CERT 3918 TX

Addresses

Primary practice location

7447 N Macarthur Blvd
Suite 180
Irving, TX 75063-7509

Mailing address

7447 N Macarthur Blvd
Suite 180
Irving, TX 75063-7509
Phone (972) 253-1500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040422001179 TX Practitioner - Chiropractic 2860488038 Practice locations: Irving, TX

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1994
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

7447 N Macarthur Blvd
Suite 180
Irving, TX 75063-7546
Phone (972) 253-1500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6435TXMDChiropractor
BOARD CERT 3918TXMDNutrition Education Nutritionist

Practice roles

OrganizationSpecialtyStatusNew patients
Grennan Chiropractic PLLC Nutrition Past Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480896000000",
    "number": "1346250602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7447 N MACARTHUR BLVD",
            "address_2": "SUITE 180",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750637509",
            "telephone_number": "972-253-1500",
            "fax_number": "972-253-1505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7447 N MACARTHUR BLVD",
            "address_2": "SUITE 180",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750637509",
            "telephone_number": "972-253-1500",
            "fax_number": "972-253-1505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRENNAN",
        "first_name": "CAROL",
        "middle_name": "EVELYN",
        "credential": "DC, DACBN, CCN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-09",
        "last_updated": "2016-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "6435",
            "primary": true
        },
        {
            "code": "111NN1001X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Nutrition",
            "state": "TX",
            "license": "6435",
            "primary": false
        },
        {
            "code": "133NN1002X",
            "taxonomy_group": "",
            "desc": "Nutritionist, Nutrition, Education",
            "state": "TX",
            "license": "BOARD CERT 3918",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irving, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2016; 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.