Active NPI
Jonathan Jay Grussing, D.C.
- Chiropractor
- Clara City, MN
National Provider Identifier
1710022348
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 3280
- Practice address
- 23 North Main Street
Clara City, MN 56222-0793 - Phone
- (320) 847-3511
- Fax
- (320) 847-3752
- NPI assigned
- Feb 21, 2007
- Last updated
- Jul 9, 2007
- 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 | 3280 | MN | Primary |
Addresses
Primary practice location
23 North Main Street
Clara City, MN 56222-0793
Mailing address
23 North Main Street
P.O. Box 793
Clara City, MN 56222-0793
Phone (320) 847-3511
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 128M9HE | Other | MN | BCBS GROUP ID NUMBER |
| 129MOGR | Other | MN | BCBS INDIVIDUAL ID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Northwestern College of Chiropractic, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
23 N Main St
Clara City, MN 56222-1186
Phone (320) 847-3511
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3280 | MN | MD | Optometrist |
| 53668 | MN | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Heartland Family Chiropractic, P.a. | Current | Accepting new patients |
Organizations & group practices 1
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.
-
- Clinic/Center
- Clara City, MN
- NPI 1841335312
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172016000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1710022348",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23 NORTH MAIN STREET",
"address_2": "P.O. BOX 793",
"city": "CLARA CITY",
"state": "MN",
"postal_code": "562220793",
"telephone_number": "320-847-3511",
"fax_number": "320-847-3752"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23 NORTH MAIN STREET",
"city": "CLARA CITY",
"state": "MN",
"postal_code": "562220793",
"telephone_number": "320-847-3511",
"fax_number": "320-847-3752"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRUSSING",
"first_name": "JONATHAN",
"middle_name": "JAY",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-21",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MN",
"license": "3280",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS GROUP ID NUMBER",
"identifier": "128M9HE",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS INDIVIDUAL ID",
"identifier": "129MOGR",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Clara City, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.