Active NPI
Dawn-Marie Kelly Grose, D.C.
- Chiropractor
- Pottsville, PA
National Provider Identifier
1467535229
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC009712
- Practice address
- 1666 Mount Hope Ave
Pottsville, PA 17901-1302 - Phone
- (570) 622-2525
- NPI assigned
- Oct 23, 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 | DC009712 | PA | Primary |
Addresses
Primary practice location
1666 Mount Hope Ave
Pottsville, PA 17901-1302
Mailing address
1666 Mount Hope Ave
Pottsville, PA 17901-1302
Phone (570) 622-2525
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- New York Chiropractic College, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2205 W Market St
Pottsville, PA 17901-1803
Phone (570) 621-4390
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC009712 | PA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Revive Chiropractic, LLC | Chiropractor | Current | Accepting new patients |
| Integrated Medical Group, P.C. | Past | Accepting new patients |
Locations
2205 W Market St
Pottsville, PA 17901
Phone (570) 621-4390
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 and National Provider Directory roles.
-
- Chiropractor
- Pottsville, PA
- NPI 1548773708
-
- Sports Medicine (Orthopaedic Surgery) Physician
- Reading, PA
- NPI 1881341303
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161561600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1444867200000",
"number": "1467535229",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1666 MOUNT HOPE AVE",
"city": "POTTSVILLE",
"state": "PA",
"postal_code": "179011302",
"telephone_number": "570-622-2525"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1666 MOUNT HOPE AVE",
"city": "POTTSVILLE",
"state": "PA",
"postal_code": "179011302",
"telephone_number": "570-622-2525"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GROSE",
"first_name": "DAWN-MARIE",
"middle_name": "KELLY",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-23",
"last_updated": "2015-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "PA",
"license": "DC009712",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pottsville, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2015; 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.