William Daniel Grimes, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

5097 Issued in MN

Practice address

201 N Main St
Lake Crystal, MN 56055-2112

Phone

(507) 726-2091

NPI assigned

May 16, 2008

Last updated

Sep 25, 2019By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Specialty

Chiropractic

Education

Northwestern College of Chiropractic, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Lake Crystal Chiropractic PLLC

  • Chiropractor
  • Lake Crystal, MN
  • NPI 1649749540
  Medicare reassignment Authorized official
• Lakeville Community Chiropractic

  • Chiropractor
  • Lakeville, MN
  • NPI 1912156795
  Authorized official Same address or phone
• Meints Chiropractic & Wellness PA

  • Chiropractor
  • Pine Island, MN
  • NPI 1093473340
  NPD

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

{
    "created_epoch": "1210896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569369600000",
    "number": "1578730701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15677 HAYES TRAIL",
            "city": "APPLE VALLEY",
            "state": "MN",
            "postal_code": "55124",
            "telephone_number": "612-360-3483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 N MAIN ST",
            "city": "LAKE CRYSTAL",
            "state": "MN",
            "postal_code": "560552112",
            "telephone_number": "507-726-2091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIMES",
        "first_name": "WILLIAM",
        "middle_name": "DANIEL",
        "name_prefix": "Mr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-05-16",
        "last_updated": "2019-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "5097",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph Brian Deal, D.C.
• Ecumen
• Seth Ellanson
• Empowered Insights
• Kristi Shay Freerksen, RN
• Danielle Christine Gronewold, FNP
• Jackson Chiropractic of Lake Crystal
• Jamie Ann Johannes, DO
• Lake Crystal Chiropractic PLLC
• Lake Crystal Wellcome Memorial Area Schools

• Chiropractor in Lake Crystal, MN
• Providers in Lake Crystal, MN by specialty
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2019; 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.