Individual provider Active NPI

Zachary Ty Grant, D.C.

  • Chiropractor
  • Austin, TX
National Provider Identifier
1821581596
Registry record updated Jun 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
13820 Issued in TX
Practice address
5775 Airport Blvd Ste 300
Austin, TX 78752-4214
Phone
(512) 451-0115
NPI assigned
Jun 7, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 13820 TX Primary

Addresses

Primary practice location

5775 Airport Blvd Ste 300
Austin, TX 78752-4214

Mailing address

5775 Airport Blvd Ste 300
Austin, TX 78752-4214
Phone (512) 451-0115

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180924001204 TX Practitioner - Chiropractic 1557612090 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kapsner Chiropractic Centers PAGroup PAC ID 8820194236, 11 clinicians

Practice addresses (Care Compare)

1701 W Ben White Blvd
Suite 160
Austin, TX 78704-7679
Phone (512) 441-1240

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
13820TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Kapsner Chiropractic Centers PA Chiropractor CurrentSince Feb 26, 2020 Accepting new patients
Austin Chiropractic and Rehab LLC Chiropractor CurrentSince Aug 14, 2020 Accepting new patients

Locations

9012 Research Blvd
Ste C7
Austin, TX 78758
Phone (512) 459-4014

5775 Airport Blvd
Ste 300
Austin, TX 78752
Phone (512) 451-0115

1701 W Ben White Blvd
Ste 160
Austin, TX 78704
Phone (512) 441-1240

696 Highway 71 W
Ste 2B
Bastrop, TX 78602
Phone (512) 985-5486

920 N Vista Ridge Blvd
Ste 600
Cedar Park, TX 78613
Phone (512) 260-4020

2000 S Ih 35
Ste H1
Round Rock, TX 78681
Phone (512) 459-4014

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": "1528329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528329600000",
    "number": "1821581596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5775 AIRPORT BLVD STE 300",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787524214",
            "telephone_number": "512-451-0115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5775 AIRPORT BLVD STE 300",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787524214",
            "telephone_number": "512-451-0115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANT",
        "first_name": "ZACHARY",
        "middle_name": "TY",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-07",
        "last_updated": "2018-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "13820",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2018; 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.