Organization Active NPI

Sean P Groves

Doing business as Great Lakes Chiropractic

  • Orthopedic Chiropractor
  • Coldwater, MI
National Provider Identifier
1598856775
Registry record updated May 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic ChiropractorTaxonomy code 111NX0800X
License
2301007175 Issued in MI
Legal business name
SEAN P GROVES
Doing business as
Great Lakes Chiropractic
Practice address
601 E Chicago Rd
Coldwater, MI 49036-8130
Phone
(517) 278-7246
Fax
(517) 279-2858
NPI assigned
Sep 27, 2006
Last updated
May 20, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2008

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

Authorized official

Name
Dr. Sean P Groves, DC CCSP DABCONPI 1144284167
Title
Owner
Phone
(517) 278-7246

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2301009085 MI
Chiropractor 111N00000X 2301008837 MI
Chiropractor 111N00000X 2301009317 MI
Orthopedic Chiropractor 111NX0800X 2301007175 MI Primary

Addresses

Primary practice location

601 E Chicago Rd
Coldwater, MI 49036-8130

Mailing address

601 E Chicago Rd
Coldwater, MI 49036-8130
Phone (517) 278-7246

Other names 1

  • Great Lakes Chiropractic Doing business as

National Provider Directory

National Provider Directory

Locations

601 E Chicago Rd
Coldwater, MI 49036
Phone (517) 278-7246

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211241600000",
    "number": "1598856775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 E CHICAGO RD",
            "city": "COLDWATER",
            "state": "MI",
            "postal_code": "490368130",
            "telephone_number": "517-278-7246",
            "fax_number": "517-279-2858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 E CHICAGO RD",
            "city": "COLDWATER",
            "state": "MI",
            "postal_code": "490368130",
            "telephone_number": "517-278-7246",
            "fax_number": "517-279-2858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEAN P GROVES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-27",
        "last_updated": "2008-05-20",
        "status": "A",
        "authorized_official_last_name": "GROVES",
        "authorized_official_first_name": "SEAN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "517-278-7246",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC CCSP DABCO"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301009085",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301008837",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301009317",
            "primary": false
        },
        {
            "code": "111NX0800X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Orthopedic",
            "state": "MI",
            "license": "2301007175",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Great Lakes Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Coldwater, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2008; 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.