Organization Active NPI

Grostic Chiropractic, PC

  • Chiropractor
  • Kennesaw, GA
National Provider Identifier
1780910224
Registry record updated Oct 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
007653 Issued in GA
Legal business name
GROSTIC CHIROPRACTIC, PC
Practice address
2752 Watts Dr NW
Suite a
Kennesaw, GA 30144-2721
Phone
(678) 401-6256
NPI assigned
Oct 18, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2009

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

Authorized official

Name
Dr. Richard John Grostic, D.C.
Title
President/Doctor
Phone
(770) 317-7583

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 007653 GA Primary

Addresses

Primary practice location

2752 Watts Dr NW
Suite a
Kennesaw, GA 30144-2721

Mailing address

2752 Watts Dr NW
Suite a
Kennesaw, GA 30144-2721
Phone (678) 401-6256

Other names 1

  • chiropractor Doing business as

National Provider Directory

National Provider Directory

Locations

2752 Watts Dr NW
#A
Kennesaw, GA 30144
Phone (269) 352-3753

NPI Registry JSON

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

{
    "created_epoch": "1255824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255824000000",
    "number": "1780910224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2752 WATTS DR NW",
            "address_2": "SUITE A",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301442721",
            "telephone_number": "678-401-6256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2752 WATTS DR NW",
            "address_2": "SUITE A",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301442721",
            "telephone_number": "678-401-6256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GROSTIC CHIROPRACTIC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-18",
        "last_updated": "2009-10-18",
        "status": "A",
        "authorized_official_last_name": "GROSTIC",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT/DOCTOR",
        "authorized_official_telephone_number": "770-317-7583",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "007653",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "chiropractor",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kennesaw, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.