Active NPI
Carrie Lynn Granger, DC
- Chiropractor
- Columbus, OH
National Provider Identifier
1376584961
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 3013
- Practice address
- 2115 Polaris Pkwy
Columbus, OH 43240-2022 - Phone
- (614) 888-3500
- NPI assigned
- Jun 8, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 3013 | OH | Primary |
Addresses
Primary practice location
2115 Polaris Pkwy
Columbus, OH 43240-2022
Mailing address
2115 Polaris Pkwy
Columbus, OH 43240-2022
Phone (740) 965-5856
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000305046 | Other | OH | ANTHEM BCBS |
| 2179968 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 2000
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
2115 Polaris Pkwy
Columbus, OH 43240-2022
Phone (614) 888-3500
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3013 | OH | MD | Chiropractor |
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.
-
- Chiropractor
- Columbus, OH
- NPI 1265468896
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149724800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1480896000000",
"number": "1376584961",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2115 POLARIS PKWY",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432402022",
"telephone_number": "740-965-5856"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2115 POLARIS PKWY",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432402022",
"telephone_number": "614-888-3500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRANGER",
"first_name": "CARRIE",
"middle_name": "LYNN",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-08",
"last_updated": "2016-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "OH",
"license": "3013",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BCBS",
"identifier": "000000305046",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2179968",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Columbus, OH
- Grandview Medical Pharmacy Inc
- Grandview Medical Professional Corporation
- Grandview Vision Center LLC
- Granger Chiropractic and Family Medicine, Inc.
- Andrew Jason Granger, DC
- Izaak William Granger, APRN-CNP
- Jeffrey F Granger, M.D.
- Matthew R Granger, APRN-CNP
- Dominic Granito
- Kelly Grannan, M.D., M.P.H.
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.