Individual provider Active NPI

Beverly Lynn Grabski, DC

  • Chiropractor
  • Industry, PA
National Provider Identifier
1679501555
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC007788-L Issued in PA
Practice address
1639 Midland Beaver Rd
Industry, PA 15052-1405
Phone
(724) 643-9633
Fax
(724) 643-9554
NPI assigned
Jun 29, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC007788-L PA Primary

Addresses

Primary practice location

1639 Midland Beaver Rd
Industry, PA 15052-1405

Mailing address

1639 Midland Beaver Rd
Industry, PA 15052-1405
Phone (724) 643-9633

Other identifiers 5

IdentifierTypeStateIssuer
2618897OtherPAAETNA #
GR915320OtherPABCBS #
BG1027404OtherPAASHN #
7731261OtherPAAETNA #
0093330001OtherPACIGNA #

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050222000601 PA Practitioner - Chiropractic 6406809284 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Sherman College of Straight Chiropractic, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1639 Midland Beaver Rd
Industry, PA 15052-1405
Phone (724) 643-9633

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC007788-LPAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Grabski Family Chiropractic PC Chiropractor CurrentSince Sep 24, 2009 Accepting new patients

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": "1151539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1679501555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1639 MIDLAND BEAVER RD",
            "city": "INDUSTRY",
            "state": "PA",
            "postal_code": "150521405",
            "telephone_number": "724-643-9633",
            "fax_number": "724-643-9554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1639 MIDLAND BEAVER RD",
            "city": "INDUSTRY",
            "state": "PA",
            "postal_code": "150521405",
            "telephone_number": "724-643-9633",
            "fax_number": "724-643-9554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRABSKI",
        "first_name": "BEVERLY",
        "middle_name": "LYNN",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC007788-L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA #",
            "identifier": "2618897",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS #",
            "identifier": "GR915320",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ASHN #",
            "identifier": "BG1027404",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA #",
            "identifier": "7731261",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA #",
            "identifier": "0093330001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Industry, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.