Individual provider Active NPI

Mallorie Gretchen Gregg, DC

  • Chiropractor
  • Rockville, IN
National Provider Identifier
1447041611
Registry record updated Jun 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
08003515A Issued in IN
Practice address
393 W US Highway 36
Rockville, IN 47872-7384
Phone
(765) 569-3440
Fax
(765) 569-3362
NPI assigned
May 15, 2025
Last updated
Jun 23, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 08003515A IN Primary

Addresses

Primary practice location

393 W US Highway 36
Rockville, IN 47872-7384

Mailing address

393 W US Highway 36
Rockville, IN 47872-7384
Phone (765) 569-3440

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250924003098 IN Practitioner - Chiropractic 5092210732 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dr Larry J Russell IncGroup PAC ID 8820237845, 3 clinicians

Practice addresses (Care Compare)

406 E S Blvd
Russell Chiropractic
Crawfordsville, IN 47933-3762
Phone (765) 362-1111

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
08003515AINMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Larry J Russell Inc CurrentSince Sep 25, 2025 Accepting new patients
Ferguson Chiropractic Center Chiropractor Past Accepting new patients

Locations

406 E South Blvd
Crawfordsvlle, IN 47933
Phone (765) 362-1111

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1747267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782172800000",
    "number": "1447041611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "393 W US HIGHWAY 36",
            "city": "ROCKVILLE",
            "state": "IN",
            "postal_code": "478727384",
            "telephone_number": "765-569-3440",
            "fax_number": "765-569-3362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "393 W US HIGHWAY 36",
            "city": "ROCKVILLE",
            "state": "IN",
            "postal_code": "478727384",
            "telephone_number": "765-569-3440",
            "fax_number": "765-569-3362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREGG",
        "first_name": "MALLORIE",
        "middle_name": "GRETCHEN",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-05-15",
        "last_updated": "2026-06-23",
        "certification_date": "2026-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08003515A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2026; 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.