Individual provider Active NPI

Tiffany Grim, D.C.

  • Chiropractor
  • Phoenix, AZ
National Provider Identifier
1730387259
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5651 Issued in AZ
Practice address
14231 N 7TH St Ste 5a
Phoenix, AZ 85022-4360
Phone
(602) 938-2425
NPI assigned
Jul 5, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 5651 AZ Primary

Addresses

Primary practice location

14231 N 7TH St Ste 5a
Phoenix, AZ 85022-4360

Mailing address

14231 N 7TH St Ste 5a
Phoenix, AZ 85022-4360
Phone (602) 938-2425

Other names 1

  • Tiffany Harris Professional name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050404000038 AZ Practitioner - Chiropractic 1456308428 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

21448 N 75TH Ave
Suite 1
Glendale, AZ 85308-5978
Phone (623) 213-7166

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5651AZMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
First Choice Chiropractic PLLC Chiropractor CurrentSince Nov 4, 2008 Accepting new patients
Harris Family Chiropractic, P.C. Chiropractor PastSince Oct 1, 1999 Accepting new patients

Locations

21448 N 75th Ave
Ste 1
Glendale, AZ 85308
Phone (623) 213-7166

7717 W Deer Valley Rd
Ste 135
Peoria, AZ 85382
Phone (623) 512-4040

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.

NPI Registry JSON

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

{
    "created_epoch": "1183593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1730387259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14231 N 7TH ST STE 5A",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850224360",
            "telephone_number": "602-938-2425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14231 N 7TH ST STE 5A",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850224360",
            "telephone_number": "602-938-2425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIM",
        "first_name": "TIFFANY",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-05",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "5651",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TIFFANY",
            "last_name": "HARRIS",
            "credential": "D.C.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.

Verify at the official NPI Registry.