Individual provider Active NPI

Jeanne M Grant, D.C.

  • Chiropractor
  • Santee, CA
National Provider Identifier
1619961307
Registry record updated Jan 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC23263 Issued in CA
Practice address
9307 Carlton Hills Blvd Ste B
Santee, CA 92071-2572
Phone
(619) 562-6860
Fax
(619) 562-9871
NPI assigned
Sep 8, 2005
Reactivated
Mar 31, 2006
Last updated
Jan 10, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 10, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC23263 CA Primary

Addresses

Primary practice location

9307 Carlton Hills Blvd Ste B
Santee, CA 92071-2572

Mailing address

9307 Carlton Hills Blvd Ste B
Santee, CA 92071-2572
Phone (619) 562-6860

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100811000076 CA Practitioner - Chiropractic 4385778562 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - West Sunnyvale, 1994
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

9307 Carlton Hills Blvd
Suite B
Santee, CA 92071-2572
Phone (619) 562-6860

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Jeanne M Grant Chiropractic Corp Chiropractor CurrentSince Jan 8, 2015 Accepting new patients

Locations

8954 Carlton Hills Blvd
Santee, CA 92071
Phone (619) 562-6860

9307 Carlton Hills Blvd
Ste B
Santee, CA 92071
Phone (619) 562-6860

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": "1126137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673308800000",
    "number": "1619961307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9307 CARLTON HILLS BLVD STE B",
            "city": "SANTEE",
            "state": "CA",
            "postal_code": "920712572",
            "telephone_number": "619-562-6860",
            "fax_number": "619-562-9871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9307 CARLTON HILLS BLVD STE B",
            "city": "SANTEE",
            "state": "CA",
            "postal_code": "920712572",
            "telephone_number": "619-562-6860",
            "fax_number": "619-562-9871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANT",
        "first_name": "JEANNE",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-09-08",
        "last_updated": "2023-01-10",
        "certification_date": "2023-01-10",
        "deactivation_date": "2006-03-24",
        "reactivation_date": "2006-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC23263",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santee, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2023; 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.