John Grassam, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH7964 Issued in FL

Practice address

555 NW Lake Whitney PL Ste 105
Port St Lucie, FL 34986-1623

Phone

(772) 237-2080

Fax

(772) 237-2086

NPI assigned

Jun 15, 2007

Sex

Male

Sole proprietor

No

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Disc Center of Port St Lucie LLC

  • Chiropractor
  • Port St Lucie, FL
  • NPI 1992421002
  Medicare reassignment NPD Authorized official

Specialty

Chiropractic

Education

Life Chiropractic College, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare fee-for-service enrollment

Enrolled in FL

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 1, 2022.

{
    "created_epoch": "1181865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669852800000",
    "number": "1821293440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 NW LAKE WHITNEY PL STE 105",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349861623",
            "telephone_number": "772-237-2080",
            "fax_number": "772-237-2086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 NW LAKE WHITNEY PL STE 105",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349861623",
            "telephone_number": "772-237-2080",
            "fax_number": "772-237-2086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRASSAM",
        "first_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-15",
        "last_updated": "2022-12-01",
        "certification_date": "2022-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH7964",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Grady, PTA
• Stephen Graham II, MD, MS
• Diana Grajales
• Eugenie Grant, CNA/PERS. ASST.
• Nickole M Grant, LCSW
• Great Smile Dental Pediatrics
• Greater Florida Anesthesiologists, LLC
• Green Health and Wellness, LLC
• Taniesha Green
• Sydney Rose Greenberg

• All providers in Port St Lucie, FL
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2022; 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.