Greco-Bowman Chiropractic Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

21917 Issued in CA

Legal business name

GRECO-BOWMAN CHIROPRACTIC INC

Practice address

790 W Avenue Q
Suite a
Palmdale, CA 93551-3768

Phone

(661) 272-1800

Fax

(661) 272-9861

NPI assigned

Jul 4, 2008

Last updated

Dec 15, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Buck Erickson BowmanNPI 1396722336

Title

Owner

Phone

(661) 272-1800

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 4

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.

• Buck Erickson Bowman, DC

  • Chiropractor
  • Palmdale, CA
  • NPI 1396722336
  Medicare reassignment NPD Authorized official
• Daniel Matthew Bartko

  • Chiropractor
  • Palmdale, CA
  • NPI 1376198283
  NPD
• Jordan Ashley Ramos, DC

  • Chiropractor
  • Palmdale, CA
  • NPI 1679469324
  NPD
• Jason Qi, D.C.

  • Chiropractor
  • Palmdale, CA
  • NPI 1033178744
  NPD (past)

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

{
    "created_epoch": "1215129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1513296000000",
    "number": "1730342270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 W AVENUE Q",
            "address_2": "SUITE A",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935513768",
            "telephone_number": "661-272-1800",
            "fax_number": "661-272-9861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "790 W AVENUE Q",
            "address_2": "SUITE A",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935513768",
            "telephone_number": "661-272-1800",
            "fax_number": "661-272-9861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRECO-BOWMAN CHIROPRACTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-04",
        "last_updated": "2017-12-15",
        "status": "A",
        "authorized_official_last_name": "BOWMAN",
        "authorized_official_first_name": "BUCK",
        "authorized_official_middle_name": "ERICKSON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "661-272-1800"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "21917",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Graceful Palms Hospice and Palliative Care Corp
• Kayla Michelle Grajeda
• Linda Nathalie Granados
• Ray Gray, RPT
• Greater Living & Care LL
• Michaila Eileen-Nicole Green
• Virginia O'Neill Green
• David Alexander Gregory, DDS
• Kayla Nichole Griffith, RN
• Gary Austin Grimes, MD

• Chiropractor in Palmdale, CA
• Providers in Palmdale, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2017; 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.