Marc D Grandle, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC30015 Issued in CA

Practice address

820A E Mason St
Santa Barbara, CA 93103-3315

Phone

(805) 403-7399

NPI assigned

Nov 13, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Chiropractic

Education

Life Chiropractic College - West, 2000

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Grandle Chiropractic PC

  • Chiropractor
  • Santa Barbara, CA
  • NPI 1083007348
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1194912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721779200000",
    "number": "1376723734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820A E MASON ST",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931033315",
            "telephone_number": "805-403-7399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820A E MASON ST",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931033315",
            "telephone_number": "805-403-7399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANDLE",
        "first_name": "MARC",
        "middle_name": "D",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-11-13",
        "last_updated": "2024-07-24",
        "certification_date": "2024-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC30015",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES",
            "identifier": "1083007348",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kimberly Painter Grafton, MD
• Scott T Grafton, MD
• Joann Noel Graham, MA
• Cynthia Marie Grancourt, PSYD
• Grandle Chiropractic PC
• David Nikolas Granirer, AMFT
• Celena Corinne Grant, RN
• Jacob Grant
• Lance Lee Grant, D.M.D.
• Pamela Grant, L.AC.

• Chiropractor in Santa Barbara, CA
• Providers in Santa Barbara, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2024; 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.