Individual provider Active NPI

Christopher M Grose, DC

  • Chiropractor
  • Beckley, WV
National Provider Identifier
1740348234
Registry record updated Mar 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
837 Issued in WV
Practice address
1804A Harper Rd
Beckley, WV 25801-3331
Phone
(304) 250-6047
Fax
(304) 250-6048
NPI assigned
Dec 5, 2006
Last updated
Mar 19, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 19, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 837 WV Primary

Addresses

Primary practice location

1804A Harper Rd
Beckley, WV 25801-3331

Mailing address

1804A Harper Rd
Beckley, WV 25801-3331
Phone (304) 250-6047

Other identifiers 1

IdentifierTypeStateIssuer
3810005398MedicaidWV

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051101000983 WV Practitioner - Chiropractic 6608763149 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College - West, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New River Health Association IncGroup PAC ID 2365348596, shared by 22 NPIs, 36 clinicians

Practice addresses (Care Compare)

1804 A Harper Rd
Beckley, WV 25801-3331
Phone (304) 250-6047

497 Mall Rd
Oak Hill, WV 25901-6115

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
837WVMDClinical Psychologist
DC27916CAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
New River Health Association, Inc. CurrentSince Mar 30, 2019 Accepting new patients
Cathy Boyd Physical Medicine LLC CurrentSince May 1, 2015 Accepting new patients
Christopher Grose DC Inc. Chiropractor CurrentSince Aug 11, 2005 Accepting new patients
New River Health Association, Inc. CurrentSince Aug 23, 2021 Accepting new patients
Cathy Boyd Physical Medicine LLC Current Accepting new patients
New River Health Association, Inc. CurrentSince Mar 30, 2019 Accepting new patients
New River Health Association, Inc. Current Accepting new patients
New River Health Association, Inc. Past Accepting new patients
2 Entrepreneurs Inc Chiropractor Past Accepting new patients
RX Boutique Pharmacy Inc Past Accepting new patients
New River Health Association, Inc. Past Accepting new patients

Locations

1804 Harper Rd
Beckley, WV 25801
Phone (304) 252-0771

1804A Harper Rd
Beckley, WV 25801
Phone (304) 250-6047

9 Yellow Wood Way
Beckley, WV 25801
Phone (304) 250-6047

497 Mall Rd
Oak Hill, WV 25901
Phone (304) 469-3261

57 Sutphin Ln
Scarbro, WV 25917
Phone (304) 469-3345

908 Scarbro Rd
Scarbro, WV 25917
Phone (304) 469-3424

Interoperability endpoints

  • Direct secure messaging: cgrose@cgc-wv.direct.office.nextgen.com
  • Direct secure messaging: christopher.grose.1@16450.direct.athenahealth.com

Organizations & group practices 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616112000000",
    "number": "1740348234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1804A HARPER RD",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258013331",
            "telephone_number": "304-250-6047",
            "fax_number": "304-250-6048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1804A HARPER RD",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258013331",
            "telephone_number": "304-250-6047",
            "fax_number": "304-250-6048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROSE",
        "first_name": "CHRISTOPHER",
        "middle_name": "M",
        "name_prefix": "Mr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-05",
        "last_updated": "2021-03-19",
        "certification_date": "2021-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WV",
            "license": "837",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810005398",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beckley, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2021; 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.