Active NPI
Steven Wayne Grimm, D.C.
- Chiropractor
- San Antonio, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC6997
- Practice address
- 7330 San Pedro Ave
Suite 120
San Antonio, TX 78216 - Phone
- (210) 342-4000
- Fax
- (210) 342-4181
- NPI assigned
- Nov 29, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Physician Chiropractor | 111NS0005X | 6997 | TX | |
| Chiropractor | 111N00000X | DC6997 | TX | Primary |
Addresses
Primary practice location
7330 San Pedro Ave
Suite 120
San Antonio, TX 78216
Mailing address
21115 N Hwy 281
Ste 1502
San Antonio, TX 78258-7634
Phone (210) 342-4000
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8F4900 | Other | BLUE CROSS BLUE SHIELD | |
| 2664613 | Other | TX | AETNA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Life Chiropractic College - West, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
21115 N Hwy 281
Suite 1502
San Antonio, TX 78258-7634
Phone (210) 402-6633
21115 US Hwy 281 N
Suite 1502
San Antonio, TX 78258-7634
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC6997 | TX | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mission Chiropractic and Injury Clinic, P.a. | Chiropractor | Current | Accepting new patients |
| Diagnostic and Natural Health Center, P.a. | Chiropractor | Past | Accepting new patients |
Locations
7330 San Pedro Ave
Ste 120
San Antonio, TX 78216
Phone (210) 342-4000
21115 US Highway 281 N
Ste 1502
San Antonio, TX 78258
Phone (210) 402-6633
Organizations & group practices 2
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.
-
- Chiropractor
- San Antonio, TX
- NPI 1013035682
-
- Chiropractor
- San Antonio, TX
- NPI 1003935669
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164758400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1480291200000",
"number": "1720155526",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21115 N HWY 281",
"address_2": "STE 1502",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782587634",
"telephone_number": "210-342-4000",
"fax_number": "210-342-4181"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7330 SAN PEDRO AVE",
"address_2": "SUITE 120",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "78216",
"telephone_number": "210-342-4000",
"fax_number": "210-342-4181"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRIMM",
"first_name": "STEVEN",
"middle_name": "WAYNE",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-29",
"last_updated": "2016-11-28",
"status": "A"
},
"taxonomies": [
{
"code": "111NS0005X",
"taxonomy_group": "",
"desc": "Chiropractor, Sports Physician",
"state": "TX",
"license": "6997",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TX",
"license": "DC6997",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "8F4900",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "2664613",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2016; 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.