Grant Alexander Redstone, D.C. FIAMA, PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2774307-1202 Issued in UT

Practice address

1750 105TH Avenue NE
Blaine, MN 55449

Phone

(763) 780-0356

NPI assigned

Dec 15, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Specialty

Chiropractic

Education

Life Chiropractic College - West, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Healthwise Family Chiropractic, P.a.Group PAC ID 0345249736, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Healthwise Family Chiropractic, P.a.

  • Chiropractor
  • St Anthony, MN
  • NPI 1336216522
  Medicare reassignment Care Compare group NPD
• Fairview Express Care

  dba M Health Fairview Recovery Clinic

  • Multi-Specialty Clinic/Center
  • Minneapolis, MN
  • NPI 1053952606
  Medicare reassignment NPD
• Fairview Express Care

  dba Fairview Clinics Specialty

  • General Practice Physician
  • Saint Paul, MN
  • NPI 1346722675
  NPD
• Fairview Express Care

  • General Practice Physician
  • Edina, MN
  • NPI 1831707207
  NPD

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

{
    "created_epoch": "1229299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464134400000",
    "number": "1821233164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1750 105TH AVENUE NE",
            "city": "BLAINE",
            "state": "MN",
            "postal_code": "554494500",
            "telephone_number": "763-780-0356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1750 105TH AVENUE NE",
            "city": "BLAINE",
            "state": "MN",
            "postal_code": "55449",
            "telephone_number": "763-780-0356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDSTONE",
        "first_name": "GRANT",
        "middle_name": "ALEXANDER",
        "name_prefix": "Dr.",
        "credential": "D.C. FIAMA, PC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-12-15",
        "last_updated": "2016-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "UT",
            "license": "2774307-1202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nichole April Rakow, D.C
• Yahya Rashid
• Craig Lawrence Rathjen, DDS
• RBF LLC (Rainbow Pharmacy)
• Redemption Care Center LLC
• Timothy John Regan, MD
• Ronald E. Rehmann, M.D.
• Remedy Homecare LLC
• Marshall Rengstorf, DC
• Benjamin Austin Resnick, PT

• Chiropractor in Blaine, MN
• Providers in Blaine, MN by specialty
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2016; 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.