Organization Active NPI

Grubbs Family Chiropractic Inc.

  • Chiropractor
  • Carrollton, OH
National Provider Identifier
1467631283
Registry record updated Dec 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2687 Issued in OH
Legal business name
GRUBBS FAMILY CHIROPRACTIC INC.
Practice address
713 Canton Rd NW
Carrollton, OH 44615-9447
Phone
(330) 627-4745
Fax
(330) 627-9767
NPI assigned
Oct 29, 2007
Last updated
Dec 3, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2013

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

Authorized official

Name
Dr. William F. Grubbs, D.C.NPI 1265448047
Title
Chiropractor
Phone
(330) 627-4745

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)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2687 OH Primary

Addresses

Primary practice location

713 Canton Rd NW
Carrollton, OH 44615-9447

Mailing address

PO Box 56
Carrollton, OH 44615-0056
Phone (330) 627-4745

Other identifiers 1

IdentifierTypeStateIssuer
2091829MedicaidOH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040315000209 OH Part B Supplier - Clinic/Group Practice 0547159865 Receives reassigned benefits from 3 practitioners
Practice locations: Columbiana, OH

National Provider Directory

National Provider Directory

Locations

840 E Park Ave
Columbiana, OH 44408
Phone (330) 482-5255

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1193616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386028800000",
    "number": "1467631283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 56",
            "city": "CARROLLTON",
            "state": "OH",
            "postal_code": "446150056",
            "telephone_number": "330-627-4745",
            "fax_number": "330-627-9767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "713 CANTON RD NW",
            "city": "CARROLLTON",
            "state": "OH",
            "postal_code": "446159447",
            "telephone_number": "330-627-4745",
            "fax_number": "330-627-9767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRUBBS FAMILY CHIROPRACTIC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-29",
        "last_updated": "2013-12-03",
        "status": "A",
        "authorized_official_last_name": "GRUBBS",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "F.",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "330-627-4745",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "2687",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2091829",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Carrollton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2013; 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.

Verify at the official NPI Registry.