Individual provider Active NPI

Grant H Parnagian, D.C.

  • Chiropractor
  • Moorestown, NJ
National Provider Identifier
1538233382
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC00160500 Issued in NJ
Practice address
128 Bortons Landing Rd
Moorestown, NJ 08057-3011
Phone
(856) 234-6373
Fax
(856) 234-1520
NPI assigned
Nov 20, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 38MC00160500 NJ Primary

Addresses

Primary practice location

128 Bortons Landing Rd
Moorestown, NJ 08057-3011

Mailing address

128 Bortons Landing Rd
Moorestown, NJ 08057-3011
Phone (856) 234-6373

Other identifiers 3

IdentifierTypeStateIssuer
0073287000OtherNJAMERIHEALTH
P513840OtherNJOXFORD HEALTHPLAN
43367OtherNJAETNA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090623000458 NJ Practitioner - Chiropractic 6800947391 Practice locations: Moorestown, NJ

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 1977
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

128 Barton Landing Rd
Moorestown, NJ 08057-3011
Phone (856) 234-6373

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
38MC00160500NJMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1538233382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 BORTONS LANDING RD",
            "city": "MOORESTOWN",
            "state": "NJ",
            "postal_code": "080573011",
            "telephone_number": "856-234-6373",
            "fax_number": "856-234-1520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 BORTONS LANDING RD",
            "city": "MOORESTOWN",
            "state": "NJ",
            "postal_code": "080573011",
            "telephone_number": "856-234-6373",
            "fax_number": "856-234-1520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARNAGIAN",
        "first_name": "GRANT",
        "middle_name": "H",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00160500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH",
            "identifier": "0073287000",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD HEALTHPLAN",
            "identifier": "P513840",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "43367",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Moorestown, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.