Active NPI
Bruce John Grandstaff Sr., DC
- Chiropractor
- Coeur D Alene, ID
National Provider Identifier
1730155334
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CHIA 668
- Practice address
- 7905 N Meadowlark Way
Ste B
Coeur D Alene, ID 83815 - Phone
- (208) 772-6015
- Fax
- (208) 772-6016
- NPI assigned
- Feb 24, 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 | CHIA 668 | ID | Primary |
Addresses
Primary practice location
7905 N Meadowlark Way
Ste B
Coeur D Alene, ID 83815
Mailing address
7905 N Meadowlark Way
Ste B
Coeur D Alene, ID 83815
Phone (208) 772-6015
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CHIA 668 | ID | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Back in Health Chiropractic, Inc. | Chiropractor | Past | Accepting new patients |
| Chiropractic Health Strategies, PA | Chiropractor | Past | Accepting new patients |
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
- Coeur D Alene, ID
- NPI 1528211034
-
- Chiropractor
- Coeur D Alene, ID
- NPI 1700066875
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140739200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1730155334",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7905 N MEADOWLARK WAY",
"address_2": "STE B",
"city": "COEUR D ALENE",
"state": "ID",
"postal_code": "83815",
"telephone_number": "208-772-6015",
"fax_number": "208-772-6016"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7905 N MEADOWLARK WAY",
"address_2": "STE B",
"city": "COEUR D ALENE",
"state": "ID",
"postal_code": "83815",
"telephone_number": "208-772-6015",
"fax_number": "208-772-6016"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRANDSTAFF",
"first_name": "BRUCE",
"middle_name": "JOHN",
"name_prefix": "Mr.",
"name_suffix": "Sr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-24",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "ID",
"license": "CHIA 668",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Coeur D Alene, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.