Individual provider Active NPI

Timothy Grady, D.C.

  • Chiropractor
  • Ionia, MI
National Provider Identifier
1831554773
Registry record updated Oct 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301010333 Issued in MI
Practice address
206 W Main St
Ionia, MI 48846-1617
Phone
(616) 523-6697
Fax
(616) 523-6698
NPI assigned
Dec 18, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2301010333 MI Primary

Addresses

Primary practice location

206 W Main St
Ionia, MI 48846-1617

Mailing address

206 W Main St
Ionia, MI 48846-1617
Phone (616) 523-6697

Other identifiers 1

IdentifierTypeStateIssuer
20160212358398MedicaidMI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160129002180 MI Practitioner - Chiropractic 4587967260 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

206 W Main St
Ionia, MI 48846-1617
Phone (616) 523-6697

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Preferred Chiropractic PLLC Chiropractor CurrentSince Jan 26, 2016 Accepting new patients
Grade-a Family Chiropractic Center Chiropractor CurrentSince Jul 1, 2018 Accepting new patients
McIver Chiropractic Center, LLC Chiropractor PastSince Sep 24, 2018 Accepting new patients
Preferred Chiropractic PLLC Chiropractor PastSince Jan 26, 2016 Accepting new patients

Locations

206 W Main St
Ionia, MI 48846
Phone (616) 523-6697

3985 N Michigan Ave
Saginaw, MI 48604
Phone (989) 771-2225

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1450396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665619200000",
    "number": "1831554773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 W MAIN ST",
            "city": "IONIA",
            "state": "MI",
            "postal_code": "488461617",
            "telephone_number": "616-523-6697",
            "fax_number": "616-523-6698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 W MAIN ST",
            "city": "IONIA",
            "state": "MI",
            "postal_code": "488461617",
            "telephone_number": "616-523-6697",
            "fax_number": "616-523-6698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRADY",
        "first_name": "TIMOTHY",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-12-18",
        "last_updated": "2022-10-13",
        "certification_date": "2022-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301010333",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "20160212358398",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ionia, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 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.