Active NPI
Griz Chiropractic LLC
- Chiropractor
- Jackson, MI
National Provider Identifier
1396582169
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- Legal business name
- GRIZ CHIROPRACTIC LLC
- Practice address
- 2522 Lansing Ave
Jackson, MI 49202-1647 - Phone
- (517) 395-0837
- NPI assigned
- Jul 10, 2024
- 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
- Dr. John Trevor Griswold, DC
- Title
- Owner/ Chiropractor
- Phone
- (517) 395-0837
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | Primary |
Addresses
Primary practice location
2522 Lansing Ave
Jackson, MI 49202-1647
Mailing address
5995 Lansing Ave
Jackson, MI 49201-8104
Phone (517) 395-0837
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720706062 | Medicaid | MI |
Other names 1
- Griz Chiropractic
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
2522 Lansing Ave
Jackson, MI 49202
Phone (517) 395-0837
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Jackson, MI
- NPI 1720706062
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1720569600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1721779200000",
"number": "1396582169",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5995 LANSING AVE",
"city": "JACKSON",
"state": "MI",
"postal_code": "492018104",
"telephone_number": "517-395-0837"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2522 LANSING AVE",
"city": "JACKSON",
"state": "MI",
"postal_code": "492021647",
"telephone_number": "517-395-0837"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GRIZ CHIROPRACTIC LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-07-10",
"last_updated": "2024-07-24",
"certification_date": "2024-07-24",
"status": "A",
"authorized_official_last_name": "GRISWOLD",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "TREVOR",
"authorized_official_title_or_position": "OWNER/ CHIROPRACTOR",
"authorized_official_telephone_number": "517-395-0837",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1720706062",
"state": "MI"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Griz Chiropractic",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Jackson, MI
Sources for this page
- 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.