Organization Active NPI

Lawrence a Gralewski

  • Chiropractor
  • Lincoln Park, MI
National Provider Identifier
1669499356
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
LG005027 Issued in MI
Legal business name
LAWRENCE A GRALEWSKI
Practice address
2178 Fort St
Lincoln Park, MI 48146-2405
Phone
(313) 383-7227
Fax
(313) 383-7295
NPI assigned
Jul 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Lawrence A Gralewski, DC
Title
Provider
Phone
(313) 383-7227

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X LG005027 MI Primary

Addresses

Primary practice location

2178 Fort St
Lincoln Park, MI 48146-2405

Mailing address

48635 Crescent Dr
Macomb, MI 48044-2117
Phone (586) 949-3799

Other identifiers 1

IdentifierTypeStateIssuer
7393005OtherMIAETNA

Other names 1

  • Atlas Chiropractic Doing business as

National Provider Directory

National Provider Directory

Locations

2178 Fort St
Lincoln Park, MI 48146
Phone (313) 383-7227

Practitioners & affiliated clinicians

Practitioners 2

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": "1153094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1669499356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "48635 CRESCENT DR",
            "city": "MACOMB",
            "state": "MI",
            "postal_code": "480442117",
            "telephone_number": "586-949-3799",
            "fax_number": "313-383-7295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2178 FORT ST",
            "city": "LINCOLN PARK",
            "state": "MI",
            "postal_code": "481462405",
            "telephone_number": "313-383-7227",
            "fax_number": "313-383-7295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAWRENCE A GRALEWSKI",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GRALEWSKI",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "313-383-7227",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "LG005027",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7393005",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Atlas Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lincoln Park, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.