Organization Active NPI

Leo C Grim P C

  • Chiropractor
  • Houston, TX
National Provider Identifier
1689932006
Registry record updated Apr 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
6546 Issued in TX
Legal business name
LEO C GRIM P C
Practice address
1406 Vermont St
Houston, TX 77006-1040
Phone
(713) 562-4030
Fax
(713) 522-8372
NPI assigned
Apr 24, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2012

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

Authorized official

Name
Dr. Leo Charles Grim, D.C.
Title
President
Phone
(713) 562-4030

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 6546 TX Primary

Addresses

Primary practice location

1406 Vermont St
Houston, TX 77006-1040

Mailing address

1406 Vermont St
Houston, TX 77006-1040
Phone (713) 562-4030

National Provider Directory

National Provider Directory

Locations

1406 Vermont St
Houston, TX 77006
Phone (713) 522-6336

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": "1335225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335225600000",
    "number": "1689932006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1406 VERMONT ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770061040",
            "telephone_number": "713-562-4030",
            "fax_number": "713-522-8372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1406 VERMONT ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770061040",
            "telephone_number": "713-562-4030",
            "fax_number": "713-522-8372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEO C GRIM P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-24",
        "last_updated": "2012-04-24",
        "status": "A",
        "authorized_official_last_name": "GRIM",
        "authorized_official_first_name": "LEO",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "713-562-4030",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "6546",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2012; 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.