Active NPI
Grant Ferguson
- Chiropractor
- Grand Rapids, MN
National Provider Identifier
1730631961
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 6282
- Practice address
- 423 NE 4TH St
1
Grand Rapids, MN 55744-2968 - Phone
- (218) 326-8283
- NPI assigned
- Nov 4, 2016
- Last updated
- Nov 4, 2016
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 6282 | MN | Primary |
Addresses
Primary practice location
423 NE 4TH St
1
Grand Rapids, MN 55744-2968
Mailing address
423 NE 4TH St
1
Grand Rapids, MN 55744-2968
Phone (218) 326-8283
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA, IN
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180810002812 | IA | Practitioner - Chiropractic | 1850670415 | |
| I20190226001073 | IN | Practitioner - Chiropractic | 1850670415 |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 2016
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
501 W Kieffer Rd
Michigan City, IN 46360-9580
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hicks Chiropractic Center, LLC | Chiropractor | Current | Accepting new patients |
| Resolve Medical PLLC | Current | Accepting new patients |
Locations
513 Court St
Williamsburg, IA 52361
Phone (319) 668-8196
501 W Kieffer Rd
Michigan City, IN 46360
Phone (219) 872-2177
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Rehabilitation Chiropractor
- Michigan City, IN
- NPI 1588707053
-
- General Practice Physician
- Williamsburg, IA
- NPI 1770425613
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1478217600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1478217600000",
"number": "1730631961",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "423 NE 4TH ST",
"address_2": "1",
"city": "GRAND RAPIDS",
"state": "MN",
"postal_code": "557442968",
"telephone_number": "218-326-8283"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "423 NE 4TH ST",
"address_2": "1",
"city": "GRAND RAPIDS",
"state": "MN",
"postal_code": "557442968",
"telephone_number": "218-326-8283"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FERGUSON",
"first_name": "GRANT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-11-04",
"last_updated": "2016-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MN",
"license": "6282",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Grand Rapids, MN
- Fairview Pharmacy Services LLC (Fairview Grand Itasca Clinic MTM)
- Donald Farnsworth, PHD
- FCSL Grand Rapids, LLC (Diamond Willow Assisted Living of Grand Rapids)
- FCSL Grand Rapids, LLC (Diamond Willow Assisted Living of Grand Rapids)
- Kathleen Marie Feldt
- Steven Nicholas Fideldy, D.C.
- First Call for Help of Itasca County
- Five Star Living of Grand Rapids, LLC (Diamond Willow)
- Five Star Living of Grand Rapids, LLC (Diamond Willow)
- Flourish Health and Wellness LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 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.