Individual provider Active NPI

Julie Reddell Gruben, D.C.

  • Chiropractor
  • Allen, TX
National Provider Identifier
1770801334
Registry record updated Nov 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
11448 Issued in TX
Practice address
515 W Main St
Suite 101
Allen, TX 75013-8000
Phone
(972) 908-3322
Fax
(972) 908-3341
NPI assigned
May 6, 2010
Last updated
Nov 16, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 11448 TX Primary

Addresses

Primary practice location

515 W Main St
Suite 101
Allen, TX 75013-8000

Mailing address

515 W Main St
Suite 101
Allen, TX 75013-8000
Phone (972) 908-3322

Other names 1

  • Dr. Julie Reddell Gruben Professional name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130722000382 TX Practitioner - Chiropractic 7315188182 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2010
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

515 W Main St
Suite 102
Allen, TX 75013-8021
Phone (972) 908-3322

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11448TXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Natasha T Bonner DC PLLC Chiropractor CurrentSince Nov 19, 2019 Accepting new patients
Julie Reddell Gruben DC PLLC Chiropractor CurrentSince Mar 17, 2013 Accepting new patients

Locations

515 W Main St
Ste 101
Allen, TX 75013
Phone (972) 390-9698

515 W Main St
Ste 102
Allen, TX 75013
Phone (972) 747-5077

Organizations & group practices 2

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": "1273104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1353024000000",
    "number": "1770801334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 W MAIN ST",
            "address_2": "SUITE 101",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750138000",
            "telephone_number": "972-908-3322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 W MAIN ST",
            "address_2": "SUITE 101",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750138000",
            "telephone_number": "972-908-3322",
            "fax_number": "972-908-3341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRUBEN",
        "first_name": "JULIE",
        "middle_name": "REDDELL",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-06",
        "last_updated": "2012-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "11448",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JULIE",
            "last_name": "GRUBEN",
            "middle_name": "REDDELL",
            "prefix": "DR.",
            "credential": "D.C.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Allen, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2012; 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.