Individual provider Active NPI

Edward R. Grabenstein, D.C.

  • Chiropractor
  • Oxford, MI
National Provider Identifier
1679678841
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301002839 Issued in MI
Practice address
142 S Washington St
Oxford, MI 48371-4975
Phone
(248) 628-5433
Fax
(248) 628-0292
NPI assigned
Sep 13, 2006
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2301002839 MI Primary

Addresses

Primary practice location

142 S Washington St
Oxford, MI 48371-4975

Mailing address

142 S Washington St
Oxford, MI 48371-4975
Phone (248) 628-5433

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Embrace Life Chiropractic LLC Oxford Chiropractor CurrentSince Oct 20, 2024 Accepting new patients
Glio Counseling Group PastSince Oct 25, 2014 Accepting new patients
Lucinda P Burke DC PC Chiropractor PastSince Jul 24, 2022 Accepting new patients

Locations

142 S Washington St
Oxford, MI 48371
Phone (248) 628-2891

Organizations & group practices 3

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": "1158105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1679678841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "142 S WASHINGTON ST",
            "city": "OXFORD",
            "state": "MI",
            "postal_code": "483714975",
            "telephone_number": "248-628-5433",
            "fax_number": "248-628-0292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "142 S WASHINGTON ST",
            "city": "OXFORD",
            "state": "MI",
            "postal_code": "483714975",
            "telephone_number": "248-628-5433",
            "fax_number": "248-628-0292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRABENSTEIN",
        "first_name": "EDWARD",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-13",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301002839",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oxford, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.