Active NPI
Marc Robert Grow, D.C.
- Chiropractor
- San Diego, CA
National Provider Identifier
1477994663
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC32619
- Practice address
- 16730 Bernardo Center Dr
San Diego, CA 92128-5510 - Phone
- (858) 676-1166
- Fax
- (858) 676-1172
- NPI assigned
- Jul 16, 2013
- Last updated
- Jul 16, 2013
- Sex
- Male
- Sole proprietor
- Yes
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 | DC32619 | CA | Primary |
Addresses
Primary practice location
16730 Bernardo Center Dr
San Diego, CA 92128-5510
Mailing address
16730 Bernardo Center Dr
San Diego, CA 92128-5510
Phone (858) 676-1166
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170517001801 | UT | Practitioner - Chiropractic | 9537390737 | Practice locations: Kanab, UT |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - West Sunnyvale, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
310 S 100
Suite 5
Kanab, UT 84741-3632
Phone (435) 744-8600
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC32619 | CA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1373932800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1373932800000",
"number": "1477994663",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16730 BERNARDO CENTER DR",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921285510",
"telephone_number": "858-676-1166",
"fax_number": "858-676-1172"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16730 BERNARDO CENTER DR",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921285510",
"telephone_number": "858-676-1166",
"fax_number": "858-676-1172"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GROW",
"first_name": "MARC",
"middle_name": "ROBERT",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-07-16",
"last_updated": "2013-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "DC32619",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2013; 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.