NPIMap

Organization Active NPI

Grain Valley Chiropractic, LLC

  • Chiropractor
  • Grain Valley, MO
National Provider Identifier
1710400593
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2014031272 Issued in MO
Legal business name
GRAIN VALLEY CHIROPRACTIC, LLC
Practice address
203 S Main St Ste D
Grain Valley, MO 64029-9703
Phone
(816) 443-5485
Fax
(816) 443-5652
NPI assigned
Jul 24, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Catherine Ann Dowd, DCNPI 1780088120
Title
Owner
Phone
(816) 443-5485

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)CodeLicenseStatePrimary
Chiropractor 111N00000X 2014031272 MO Primary

Addresses

Primary practice location

203 S Main St Ste D
Grain Valley, MO 64029-9703

Mailing address

203 S Main St Ste D
Grain Valley, MO 64029-9703
Phone (816) 443-5485

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170920003325 MO Part B Supplier - Clinic/Group Practice 2567736176 Receives reassigned benefits from 5 practitioners
Practice locations: Grain Valley, MO

National Provider Directory

National Provider Directory

Locations

203 S Main St
#D
Grain Valley, MO 64029
Phone (816) 443-5485

Practitioners & affiliated clinicians

Practitioners 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1500854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1710400593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 S MAIN ST STE D",
            "city": "GRAIN VALLEY",
            "state": "MO",
            "postal_code": "640299703",
            "telephone_number": "816-443-5485",
            "fax_number": "816-443-5652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 S MAIN ST STE D",
            "city": "GRAIN VALLEY",
            "state": "MO",
            "postal_code": "640299703",
            "telephone_number": "816-443-5485",
            "fax_number": "816-443-5652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAIN VALLEY CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-24",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "DOWD",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "816-443-5485",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2014031272",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grain Valley, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.

Verify at the official NPI Registry.