Organization Active NPI

Brent R. Graves, D.C., Inc

  • Chiropractor
  • Littleton, CO
National Provider Identifier
1649460841
Registry record updated Jul 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2344 Issued in CO
Legal business name
BRENT R. GRAVES, D.C., INC
Practice address
26 W Dry Creek Cir
640
Littleton, CO 80120
Phone
(720) 306-8280
Fax
(720) 306-8281
NPI assigned
Jul 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2018

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

Authorized official

Name
Carla Fey Graves
Title
Office Manager
Phone
(720) 306-8280

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2344 CO Primary

Addresses

Primary practice location

26 W Dry Creek Cir
640
Littleton, CO 80120

Mailing address

26 W Dry Creek Cir
640
Littleton, CO 80120-8063
Phone (720) 306-8280

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060425000121 CO Part B Supplier - Clinic/Group Practice 4981614716 Receives reassigned benefits from 1 practitioner
Practice locations: Littleton, CO

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1185321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532390400000",
    "number": "1649460841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 W DRY CREEK CIR",
            "address_2": "640",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801208063",
            "telephone_number": "720-306-8280",
            "fax_number": "720-306-8280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 W DRY CREEK CIR",
            "address_2": "640",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "80120",
            "telephone_number": "720-306-8280",
            "fax_number": "720-306-8281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRENT R. GRAVES, D.C., INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-25",
        "last_updated": "2018-07-24",
        "status": "A",
        "authorized_official_last_name": "GRAVES",
        "authorized_official_first_name": "CARLA",
        "authorized_official_middle_name": "FEY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "720-306-8280"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "2344",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Littleton, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.