Active NPI
Mitchell McLean Grandi, DC
- Chiropractor
- Windsor, CA
National Provider Identifier
1760463277
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC15216
- Practice address
- 8499 Old Redwood Hwy
Ste 204
Windsor, CA 95492-8056 - Phone
- (707) 838-8400
- Fax
- (707) 838-9097
- NPI assigned
- Nov 10, 2005
- 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 | DC15216 | CA | Primary |
Addresses
Primary practice location
8499 Old Redwood Hwy
Ste 204
Windsor, CA 95492-8056
Mailing address
8499 Old Redwood Hwy
Ste 204
Windsor, CA 95492-8056
Phone (707) 838-8400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC15216 | CA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hodge Chiropractic & Wellness | Chiropractor | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Chiropractor
- Windsor, CA
- NPI 1699983999
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131580800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1318204800000",
"number": "1760463277",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8499 OLD REDWOOD HWY",
"address_2": "STE 204",
"city": "WINDSOR",
"state": "CA",
"postal_code": "954928056",
"telephone_number": "707-838-8400",
"fax_number": "707-838-9097"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8499 OLD REDWOOD HWY",
"address_2": "STE 204",
"city": "WINDSOR",
"state": "CA",
"postal_code": "954928056",
"telephone_number": "707-838-8400",
"fax_number": "707-838-9097"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRANDI",
"first_name": "MITCHELL",
"middle_name": "MCLEAN",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-11-10",
"last_updated": "2011-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "DC15216",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Windsor, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.