Grand Oaks Spine Center LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2301008370 Issued in MI

Legal business name

GRAND OAKS SPINE CENTER LLC

Practice address

39915 Grand River Ave
Suite 750
Novi, MI 48375-2153

Phone

(248) 469-5408

Fax

(248) 987-4972

NPI assigned

Jul 23, 2010

Last updated

Jan 31, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Keith Randall Denning, DC

Title

Doctor of Chiropractic

Phone

(248) 469-5408

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1279843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296432000000",
    "number": "1447563051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39915 GRAND RIVER AVE",
            "address_2": "SUITE 750",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483752153",
            "telephone_number": "248-469-5408",
            "fax_number": "248-987-4972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39915 GRAND RIVER AVE",
            "address_2": "SUITE 750",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483752153",
            "telephone_number": "248-469-5408",
            "fax_number": "248-987-4972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAND OAKS SPINE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-23",
        "last_updated": "2011-01-31",
        "status": "A",
        "authorized_official_last_name": "DENNING",
        "authorized_official_first_name": "KEITH",
        "authorized_official_middle_name": "RANDALL",
        "authorized_official_title_or_position": "DOCTOR OF CHIROPRACTIC",
        "authorized_official_telephone_number": "248-469-5408",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301008370",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sara Graham
• Skyler Graham
• Tracey Grahl
• Emily Grajek
• Jovan M Granberry
• Grand River Physical Medicine PLC
• Ashley Lynn Granica
• Daisy Grant
• Destiny Denise Grant
• Genise Grant

• Chiropractor in Novi, MI
• Providers in Novi, MI by specialty
• Chiropractor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.