Gary B Grundy DC PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

967 Issued in MA

Legal business name

GARY B GRUNDY DC PC

Practice address

24 S Main St
Randolph, MA 02368-4821

Phone

(781) 986-4683

Fax

(781) 961-4504

NPI assigned

Jul 31, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Gary Brian Grundy, D.C.

Title

President

Phone

(781) 986-4683

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1217462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217462400000",
    "number": "1821254707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 S MAIN ST",
            "city": "RANDOLPH",
            "state": "MA",
            "postal_code": "023684821",
            "telephone_number": "781-986-4683",
            "fax_number": "781-961-4504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 S MAIN ST",
            "city": "RANDOLPH",
            "state": "MA",
            "postal_code": "023684821",
            "telephone_number": "781-986-4683",
            "fax_number": "781-961-4504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARY B GRUNDY DC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-31",
        "last_updated": "2008-07-31",
        "status": "A",
        "authorized_official_last_name": "GRUNDY",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "BRIAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "781-986-4683",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MA",
            "license": "967",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1610422",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Krishnaswamy Gajaraj, M.D.
• Amita Ashish Gandhi, RPH
• Sandra Joan Garber, LCSW
• Seema Garg, PHD
• Kimberly Gargiulo
• Alexander Gasdia
• Elaine M. Gatewood
• Luping Ge Sr., D.M.D
• Samantha Geddry
• Jessica Geiger

• Chiropractor in Randolph, MA
• Providers in Randolph, MA by specialty
• Chiropractor in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2008; 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.