Peter Matthew Grace, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4715 Issued in KY

Practice address

160 Versailles Rd
Frankfort, KY 40601-3207

Phone

(502) 695-4455

Fax

(502) 695-0727

NPI assigned

Dec 18, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

Specialty

Chiropractic

Education

Life Chiropractic College - West, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dynamic Chiropractic PLLCGroup PAC ID 9830572072, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Dynamic Chiropractic PLLC

  • Chiropractor
  • Louisville, KY
  • NPI 1831832559
  Medicare reassignment Care Compare group NPD
• Belleza Rehab & Hand Therapy LLC

  • Occupational Therapist
  • Bardstown, KY
  • NPI 1487512612
  NPD (past)

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

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1740343094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 VERSAILLES RD",
            "city": "FRANKFORT",
            "state": "KY",
            "postal_code": "406013207",
            "telephone_number": "502-695-4455",
            "fax_number": "502-695-0727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 VERSAILLES RD",
            "city": "FRANKFORT",
            "state": "KY",
            "postal_code": "406013207",
            "telephone_number": "502-695-4455",
            "fax_number": "502-695-0727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRACE",
        "first_name": "PETER",
        "middle_name": "MATTHEW",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KY",
            "license": "4715",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "50004093",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000292695",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Golden Place LLC
• Good Life Chiropractic PLLC
• Emily L Goodlett, APRN
• Gordian Medical VI, Inc.
• Rebecca H Gordon, RPH
• Graceful Healing Counseling LLC
• Melia Louise Graham
• Emaline Gray, C.AC.
• Alyssa Green, PHARMD
• Ally Grey

• Chiropractor in Frankfort, KY
• Providers in Frankfort, KY by specialty
• Chiropractor in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.