Active NPI
Meredith Lynn Grady, D.C.
- Chiropractor
- Grapevine, TX
National Provider Identifier
1770677312
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 9378
- Practice address
- 3500 Williams D. Tate
Suite 175
Grapevine, TX 76051 - Phone
- (817) 421-4775
- Fax
- (817) 421-4303
- NPI assigned
- Oct 3, 2006
- Last updated
- Oct 14, 2013
- Sex
- Female
- Sole proprietor
- No
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 | 9378 | TX | Primary |
Addresses
Primary practice location
3500 Williams D. Tate
Suite 175
Grapevine, TX 76051
Mailing address
3500 Williams D. Tate
Suite 175
Grapevine, TX 76051
Phone (817) 421-4775
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 13-4206042 | Other | TX | FAMILY HEALTH AMERICA |
Other names 1
- Meredith Van Horn
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 2002
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
3500 William D Tate Ave
Suite 175
Grapevine, TX 76051-8728
Phone (817) 421-4775
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9378 | TX | MD | Chiropractor |
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, 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": "1159833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1381708800000",
"number": "1770677312",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3500 WILLIAMS D. TATE",
"address_2": "SUITE 175",
"city": "GRAPEVINE",
"state": "TX",
"postal_code": "76051",
"telephone_number": "817-421-4775",
"fax_number": "817-421-4303"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3500 WILLIAMS D. TATE",
"address_2": "SUITE 175",
"city": "GRAPEVINE",
"state": "TX",
"postal_code": "76051",
"telephone_number": "817-421-4775",
"fax_number": "817-421-4303"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRADY",
"first_name": "MEREDITH",
"middle_name": "LYNN",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-03",
"last_updated": "2013-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TX",
"license": "9378",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FAMILY HEALTH AMERICA",
"identifier": "13-4206042",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MEREDITH",
"last_name": "VAN HORN",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Grapevine, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2013; 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.