Active NPI
Dena Delvaron Granger, D.C.
- Chiropractor
- Collierville, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2675
- Practice address
- 3615 S Houston Levee Rd
Collierville, TN 38017-9192 - Phone
- (901) 221-7173
- Fax
- (901) 221-7934
- NPI assigned
- Feb 9, 2012
- Last updated
- Nov 15, 2018
- Sex
- Female
- 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 | 2675 | TN | Primary |
Addresses
Primary practice location
3615 S Houston Levee Rd
Collierville, TN 38017-9192
Mailing address
76 Tabb Drive
Suite C
Munford, TN 38058
Phone (901) 840-2234
Other practice location 1
76 Tabb Drive
suite C
Munford, TN 38058
Phone (901) 840-2234
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Q025029 | Medicaid | TN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN, MS
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Life Chiropractic College, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3615 S Houston Levee Rd
Suite 110
Collierville, TN 38017-9173
Phone 90122171735
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2675 | TN | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Chiro Place of Collierville PLLC | Chiropractor | Current | Accepting new patients |
| The Chiro Place of Douglasville PC | Chiropractor | Past | Accepting new patients |
| Chisholm Chiropractic Center P a | Past | Accepting new patients |
Locations
8101 Hacks Cross Rd
Ste 110
Olive Branch, MS 38654
1630 Goodman Rd E
Ste 3
Southaven, MS 38671
Phone (662) 470-7232
2690 Kirby Whitten Rd
Ste 109
Bartlett, TN 38133
Phone (901) 217-7173
3615 S Houston Levee Rd
Ste 110
Collierville, TN 38017
Phone (901) 217-7173
2690 Kirby Whitten Rd
Memphis, TN 38133
Phone (901) 221-7173
3179 Poplar Ave
Memphis, TN 38111
Phone (901) 221-7173
Organizations & group practices 5
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.
-
- Chiropractor
- Collierville, TN
- NPI 1609234657
-
- Chiropractor
- Memphis, TN
- NPI 1811466279
-
- Chiropractor
- Douglasville, GA
- NPI 1043098817
-
- Medical Specialty Clinic/Center
- Raleigh, NC
- NPI 1528398286
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1328745600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1542240000000",
"number": "1750653572",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "76 TABB DRIVE",
"address_2": "SUITE C",
"city": "MUNFORD",
"state": "TN",
"postal_code": "38058",
"telephone_number": "901-840-2234",
"fax_number": "901-840-2237"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3615 S HOUSTON LEVEE RD",
"city": "COLLIERVILLE",
"state": "TN",
"postal_code": "380179192",
"telephone_number": "901-221-7173",
"fax_number": "901-221-7934"
}
],
"practiceLocations": [
{
"address_1": "76 Tabb Drive",
"address_2": "suite C",
"address_purpose": "LOCATION",
"city": "Munford",
"state": "TN",
"postal_code": "38058",
"country_code": "US",
"telephone_number": "901-840-2234",
"fax_number": "901-840-2237",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GRANGER",
"first_name": "DENA",
"middle_name": "DELVARON",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-02-09",
"last_updated": "2018-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TN",
"license": "2675",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "Q025029",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Collierville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2018; 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.