Organization Active NPI

A. Grbich LLC

  • Chiropractor
  • Menomonee Falls, WI
National Provider Identifier
1487862751
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3936-012 Issued in WI
Legal business name
A. GRBICH LLC
Practice address
N88W16598 Main St
Menomonee Falls, WI 53051-2845
Phone
(262) 502-0028
NPI assigned
May 19, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Matthew Jon GrbichNPI 1356371439
Title
Managing Member
Phone
(262) 502-0028

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
Chiropractor 111N00000X 3936-012 WI Primary

Addresses

Primary practice location

N88W16598 Main St
Menomonee Falls, WI 53051-2845

Mailing address

4454 N 107TH St
Wauwatosa, WI 53225-4525

Other identifiers 1

IdentifierTypeStateIssuer
1356371439OtherWIM.GRBICH,DC NPI#

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070626000026 WI Part B Supplier - Clinic/Group Practice 3274632609 Receives reassigned benefits from 1 practitioner
Practice locations: Menomonee Falls, WI

National Provider Directory

National Provider Directory
Tax ID family
A Grbich LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

N48W14336 Hampton Rd
Menomonee Falls, WI 53051
Phone (262) 502-0028

Practitioners & affiliated clinicians

Practitioners 2

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": "1179532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1487862751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4454 N 107TH ST",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532254525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "N88W16598 MAIN ST",
            "city": "MENOMONEE FALLS",
            "state": "WI",
            "postal_code": "530512845",
            "telephone_number": "262-502-0028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A. GRBICH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GRBICH",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "JON",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "262-502-0028",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "3936-012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "M.GRBICH,DC NPI#",
            "identifier": "1356371439",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Menomonee Falls, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.