Suzanne P Grondin DC PA

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CR678 Issued in ME

Legal business name

SUZANNE P GRONDIN DC PA

Doing business as

ChiroCare Center, PA

Practice address

124 Maine St
Suite 215
Brunswick, ME 04011-2072

Phone

(207) 729-4645

Fax

(207) 721-1189

NPI assigned

Apr 15, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Suzanne P Grondin, D.C.

Title

Owner/President

Phone

(207) 729-4645

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• ChiroCare Center, PA Doing business as

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

{
    "created_epoch": "1397520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397692800000",
    "number": "1710306998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 MAINE ST",
            "address_2": "SUITE 215",
            "city": "BRUNSWICK",
            "state": "ME",
            "postal_code": "040112072",
            "telephone_number": "207-729-4645",
            "fax_number": "207-721-1189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 MAINE ST",
            "address_2": "SUITE 215",
            "city": "BRUNSWICK",
            "state": "ME",
            "postal_code": "040112072",
            "telephone_number": "207-729-4645",
            "fax_number": "207-721-1189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUZANNE P GRONDIN DC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-15",
        "last_updated": "2014-04-17",
        "status": "A",
        "authorized_official_last_name": "GRONDIN",
        "authorized_official_first_name": "SUZANNE",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "207-729-4645",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "ME",
            "license": "CR678",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1790102085",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ChiroCare Center, PA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Samantha Kay Strout, PT, DPT
• Daniel J. Sullivan, PT, CFP
• Kathleen Ellen Sullivan, LCSW
• Vijayarani Suresh, NP
• Andrew Paul Susen, PA-C, MSC
• Matthew M Sweatt, PHARMD
• Salena Sykes
• Kati S Sylvester, PA-C
• David Nickerson Taft, DMD
• Pamela Taker, PT, DPT

• Chiropractor in Brunswick, ME
• Providers in Brunswick, ME by specialty
• Chiropractor in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2014; 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.