Jon Grissman, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

5863 Issued in MN

Practice address

430 S Broad St
Suite 130
Mankato, MN 56001-3789

Phone

(507) 387-5591

Fax

(507) 387-5397

NPI assigned

Jan 3, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Specialty

Chiropractic

Education

Northwestern College of Chiropractic, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Advantage Chiropractic, PLLC

  • Chiropractor
  • Mankato, MN
  • NPI 1912329111
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1388707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528761600000",
    "number": "1700207149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 S BROAD ST",
            "address_2": "STE 130",
            "city": "MANKATO",
            "state": "MN",
            "postal_code": "560013796",
            "telephone_number": "507-387-5591",
            "fax_number": "507-205-2838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 S BROAD ST",
            "address_2": "SUITE 130",
            "city": "MANKATO",
            "state": "MN",
            "postal_code": "560013789",
            "telephone_number": "507-387-5591",
            "fax_number": "507-387-5397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRISSMAN",
        "first_name": "JON",
        "name_prefix": "Mr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-01-03",
        "last_updated": "2018-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "5863",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jordan Gretz, LADC
• Lorraine Jean Griffin, MD
• Megan Patricia Griffith, MD
• Darci Ann Griffiths, APRN
• Tenisha M Griggs
• Leslie Grommersch, PT, DPT
• Paul Gronneberg, M.A., L.P.
• Haley Nicole Groskopf, PA-C
• Murphy Grotewold
• Rachel R Grubish

• Chiropractor in Mankato, MN
• Providers in Mankato, MN by specialty
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2018; 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.