Grimsley Chiropractic Services, P.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1525 Issued in MD

Legal business name

GRIMSLEY CHIROPRACTIC SERVICES, P.C.

Doing business as

Henry Chiropractic and Wellness Center

Practice address

22780 Three Notch Rd
Lexington Park, MD 20653-1538

Phone

(301) 737-0662

Fax

(301) 737-0675

NPI assigned

Apr 10, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Gary Michael Grimsley, D.C.

Title

Owner

Phone

(301) 737-0662

Specialties & licenses 1

Addresses

Other identifiers 8

Other names 1

• Henry Chiropractic and Wellness Center Doing business as

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318204800000",
    "number": "1487877643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22780 THREE NOTCH RD",
            "city": "LEXINGTON PARK",
            "state": "MD",
            "postal_code": "206531538",
            "telephone_number": "301-737-0662",
            "fax_number": "301-737-0675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22780 THREE NOTCH RD",
            "city": "LEXINGTON PARK",
            "state": "MD",
            "postal_code": "206531538",
            "telephone_number": "301-737-0662",
            "fax_number": "301-737-0675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRIMSLEY CHIROPRACTIC SERVICES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-10",
        "last_updated": "2011-10-10",
        "status": "A",
        "authorized_official_last_name": "GRIMSLEY",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-737-0662",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MD",
            "license": "1525",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO",
            "identifier": "2174552",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC FEP",
            "identifier": "T289  0001",
            "state": "MP"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS MD",
            "identifier": "LK96GR",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA HMO",
            "identifier": "47942219  003",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL WC",
            "identifier": "147743500",
            "state": "MH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALLIANCE",
            "identifier": "427879",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA PPO",
            "identifier": "4794219  002",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PPO POS",
            "identifier": "5870444",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Henry Chiropractic and Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Greater Baden Medical Service Incorporated
• Greater Baden Medical Service Incorporated
• Green Chiropractic & Wellness
• Julie Green, LCPC
• Megan Noel Green, D.C.
• Gary Michael Grimsley, D.C.
• Lee'Che Gross
• L'Tanya A. Haith, M.D.
• Kimberly Mae Hall, LCSW-C
• Sherry Elizabeth Hamilton, M.T.O.M., L.AC.

• Chiropractor in Lexington Park, MD
• Providers in Lexington Park, MD by specialty
• Chiropractor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2011; 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.