Individual provider Active NPI

Gregory J Grochowski, DC

  • Chiropractor
  • Charleston, SC
National Provider Identifier
1548320526
Registry record updated Jul 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4055 Issued in SC
Practice address
2408 Ashley River Rd Unit Z
Charleston, SC 29414-4619
Phone
(843) 266-7534
NPI assigned
Dec 11, 2006
Last updated
Jul 2, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4055 SC Primary
Chiropractor 111N00000X DC24388 CA

Addresses

Primary practice location

2408 Ashley River Rd Unit Z
Charleston, SC 29414-4619

Mailing address

2408 Ashley River Rd Unit Z
Charleston, SC 29414-4619
Phone (843) 266-7534

Other practice location 1

1460 Industrial Park Avenue
Redlands, CA 92374
Phone (909) 792-6976

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211006001154 SC Practitioner - Chiropractic 0042617185 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Los Angeles College of Chiropractic, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2408 Ashley River Rd
Unit Z
Charleston, SC 29414-4619
Phone (843) 266-7534

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC24388CAMDChiropractor
4055SCMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Ashley River Chiropractic Chiropractor CurrentSince Jul 21, 2021 Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625184000000",
    "number": "1548320526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2408 ASHLEY RIVER RD UNIT Z",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294144619",
            "telephone_number": "843-266-7534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2408 ASHLEY RIVER RD UNIT Z",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294144619",
            "telephone_number": "843-266-7534"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1460 Industrial Park Avenue",
            "address_purpose": "LOCATION",
            "city": "Redlands",
            "state": "CA",
            "postal_code": "92374",
            "country_code": "US",
            "telephone_number": "909-792-6976",
            "fax_number": "909-792-3677",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GROCHOWSKI",
        "first_name": "GREGORY",
        "middle_name": "J",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-11",
        "last_updated": "2021-07-02",
        "certification_date": "2021-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "4055",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC24388",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2021; 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.