Mark Charles Grant

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

08001545 Issued in IN

Practice address

451 Pine Lake Ave
La Porte, IN 46350-2314

Phone

(219) 362-3766

NPI assigned

Jan 24, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1201132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201132800000",
    "number": "1477730141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "451 PINE LAKE AVE",
            "city": "LA PORTE",
            "state": "IN",
            "postal_code": "463502314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "451 PINE LAKE AVE",
            "city": "LA PORTE",
            "state": "IN",
            "postal_code": "463502314",
            "telephone_number": "219-362-3766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANT",
        "first_name": "MARK",
        "middle_name": "CHARLES",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-01-24",
        "last_updated": "2008-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08001545",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan K Grace, NP
• James Lewis Grainger, M.D.
• Grandfield Foot and Ankle P.C.
• Christopher S Grandfield, DPM
• Grant Chiropractic Clinic, Inc
• Denise Doris Grasser, LCSW
• Taylor Ann Green
• Paula J Gring, O.D.
• Gurrola Chiropractic Family Health Care, P.C.
• Timothy Joseph Gurrola, DC

• Chiropractor in La Porte, IN
• Providers in La Porte, IN by specialty
• Chiropractor in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2008; 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.