Organization Active NPI

Polaris Health, PA

Doing business as Grant Chiropractic

  • Chiropractor
  • Matthews, NC
National Provider Identifier
1639603061
Registry record updated Apr 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4244 Issued in NC
Legal business name
POLARIS HEALTH, PA
Doing business as
Grant Chiropractic
Practice address
11025 Monroe Rd Ste G
Matthews, NC 28105-6556
Phone
(704) 845-5150
NPI assigned
Apr 12, 2017
Last updated
Apr 12, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2017

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

Authorized official

Name
Mrs. Elizabeth Anne Harrill, D.C.NPI 1982951935
Title
Principle
Phone
(864) 457-6990

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4244 NC Primary

Addresses

Primary practice location

11025 Monroe Rd Ste G
Matthews, NC 28105-6556

Mailing address

6608 S Rocky River Rd
Monroe, NC 28112-9318
Phone (864) 457-6990

Other names 1

  • Grant Chiropractic Doing business as

National Provider Directory

National Provider Directory

Locations

11025 Monroe Rd
Ste G
Matthews, NC 28105
Phone (704) 845-5150

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": "1491955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491955200000",
    "number": "1639603061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6608 S ROCKY RIVER RD",
            "city": "MONROE",
            "state": "NC",
            "postal_code": "281129318",
            "telephone_number": "864-457-6990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11025 MONROE RD STE G",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281056556",
            "telephone_number": "704-845-5150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POLARIS HEALTH, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-12",
        "last_updated": "2017-04-12",
        "status": "A",
        "authorized_official_last_name": "HARRILL",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "PRINCIPLE",
        "authorized_official_telephone_number": "864-457-6990",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "4244",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Grant Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Matthews, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2017; 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.