Active NPI
Granite Family Chiropractic and Nutrition
- Chiropractor
- Dedham, MA
National Provider Identifier
1699068023
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 3317
- Legal business name
- GRANITE FAMILY CHIROPRACTIC AND NUTRITION
- Practice address
- 333 Elm St
Dedham, MA 02026-4530 - Phone
- (781) 467-0088
- NPI assigned
- May 18, 2011
- Last updated
- Sep 24, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Adrian Granite, D.C.
- Title
- President/Chiropractor
- Phone
- (781) 467-0088
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 3317 | MA | Primary |
Addresses
Primary practice location
333 Elm St
Dedham, MA 02026-4530
Mailing address
333 Elm St
Dedham, MA 02026-4530
Phone (781) 467-0088
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
333 Elm St
Ste 120
Dedham, MA 02026
Phone (781) 467-0088
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Chiropractor
- Dedham, MA
- NPI 1013249911
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1305676800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1411516800000",
"number": "1699068023",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "333 ELM ST",
"city": "DEDHAM",
"state": "MA",
"postal_code": "020264530",
"telephone_number": "781-467-0088"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "333 ELM ST",
"city": "DEDHAM",
"state": "MA",
"postal_code": "020264530",
"telephone_number": "781-467-0088"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GRANITE FAMILY CHIROPRACTIC AND NUTRITION",
"organizational_subpart": "NO",
"enumeration_date": "2011-05-18",
"last_updated": "2014-09-24",
"status": "A",
"authorized_official_last_name": "GRANITE",
"authorized_official_first_name": "ADRIAN",
"authorized_official_title_or_position": "PRESIDENT/CHIROPRACTOR",
"authorized_official_telephone_number": "781-467-0088",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MA",
"license": "3317",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dedham, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2014; 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.