Individual provider Active NPI

Raina Lee Greaves, D.C.

  • Chiropractor
  • Gladwin, MI
National Provider Identifier
1497100119
Registry record updated Apr 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301010370 Issued in MI
Practice address
215 W Cedar Ave
Gladwin, MI 48624-2019
Phone
(989) 282-1881
NPI assigned
May 2, 2016
Reactivated
May 9, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 21, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2301010370 MI Primary

Addresses

Primary practice location

215 W Cedar Ave
Gladwin, MI 48624-2019

Mailing address

215 W Cedar Ave
Gladwin, MI 48624-2019
Phone (989) 282-1881

Other practice location 1

1500 N Grant St Ste N
Denver, CO 80203-1859
Phone (563) 424-8821

Other names 1

  • Dr. Raina Lee Broadstone Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250604003548 MI Practitioner - Chiropractic 7416466016 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

215 W Cedar Ave
Gladwin, MI 48624-2019
Phone (989) 282-1881

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Wander Chiropractic PLLC Chiropractor CurrentSince Mar 8, 2025 Accepting new patients
Simmons Specific Chiropractic P C Chiropractor Past Accepting new patients

Locations

215 W Cedar Ave
Gladwin, MI 48624
Phone (989) 282-1881

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1462147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776729600000",
    "number": "1497100119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 W CEDAR AVE",
            "city": "GLADWIN",
            "state": "MI",
            "postal_code": "486242019",
            "telephone_number": "989-282-1881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 W CEDAR AVE",
            "city": "GLADWIN",
            "state": "MI",
            "postal_code": "486242019",
            "telephone_number": "989-282-1881"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1500 N Grant St Ste N",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802031859",
            "country_code": "US",
            "telephone_number": "563-424-8821",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GREAVES",
        "first_name": "RAINA",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-05-02",
        "last_updated": "2026-04-21",
        "certification_date": "2026-04-21",
        "deactivation_date": "2022-07-12",
        "reactivation_date": "2023-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301010370",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RAINA",
            "last_name": "BROADSTONE",
            "middle_name": "LEE",
            "prefix": "DR.",
            "credential": "DC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Gladwin, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2026; 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.

Verify at the official NPI Registry.