Grady Chiropractic PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4524 Issued in CO

Legal business name

GRADY CHIROPRACTIC PC

Practice address

15352 E Ida Dr
Unit B
Centennial, CO 80015-4286

Phone

(303) 690-8822

Fax

(720) 870-4052

NPI assigned

Jun 17, 2009

Last updated

Oct 29, 2009By 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

Dr. Shandon Grady, D.C.NPI 1316926884

Title

Doctor

Phone

(303) 690-8822

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Locations

Practitioners 1

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.

• Shandon Adam Grady, D.C.

  • Chiropractor
  • Centennial, CO
  • NPI 1316926884
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1245196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1256774400000",
    "number": "1740417799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15352 E IDA DR",
            "address_2": "UNIT B",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "800154286",
            "telephone_number": "303-690-8822",
            "fax_number": "720-870-4052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15352 E IDA DR",
            "address_2": "UNIT B",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "800154286",
            "telephone_number": "303-690-8822",
            "fax_number": "720-870-4052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRADY CHIROPRACTIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-17",
        "last_updated": "2009-10-29",
        "status": "A",
        "authorized_official_last_name": "GRADY",
        "authorized_official_first_name": "SHANDON",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "303-690-8822",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "4524",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas N Gosling, O.D.
• Vanessa Gossett
• Catherine Graass
• Ann Marie Grace, MD
• Graceful Hearts Assisted Living, LLC
• Grady Family Chiropractic
• Shandon Adam Grady, D.C.
• Kristen Donohue Graesser, MD
• Margaret Graff, PA-C
• Ali Graham, CCC-SLP

• Chiropractor in Centennial, CO
• Providers in Centennial, CO by specialty
• Chiropractor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2009; 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.