Active NPI
Andrew D Grant, DC
- Chiropractor
- Marion, NC
National Provider Identifier
1700976446
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1483
- Practice address
- 1135 N Main Street
Marion, NC 28752 - Phone
- (828) 652-7746
- Fax
- (828) 652-7746
- NPI assigned
- Oct 13, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 1483 | NC | Primary |
Addresses
Primary practice location
1135 N Main Street
Marion, NC 28752
Mailing address
PO Box 1235
Marion, NC 28752
Phone (828) 652-7746
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 890844G | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100520000564 | NC | Practitioner - Chiropractic | 4183753742 | Practice locations: Marion, NC |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - West Sunnyvale, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1135 N Main St
Marion, NC 28752-4581
Phone (828) 652-7746
1235 PO Box
Marion, NC 28752
PO Box
Suite 1235
Marion, NC 28752
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1483 | NC | MD | Hearing Instrument Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160697600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1700976446",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1235",
"city": "MARION",
"state": "NC",
"postal_code": "28752",
"telephone_number": "828-652-7746",
"fax_number": "828-652-7746"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1135 N MAIN STREET",
"city": "MARION",
"state": "NC",
"postal_code": "28752",
"telephone_number": "828-652-7746",
"fax_number": "828-652-7746"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRANT",
"first_name": "ANDREW",
"middle_name": "D",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-13",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NC",
"license": "1483",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "890844G",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Marion, NC
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.