Grant Charles O'Brien, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4582-12 Issued in WI

Practice address

200 W Wisconsin Ave
Neenah, WI 54956-2502

Phone

(920) 720-6300

Fax

(920) 720-6315

NPI assigned

Nov 5, 2009

Sex

Male

Sole proprietor

No

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 WI

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Align Chiropractic LLCGroup PAC ID 0648304758, 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 and National Provider Directory roles.

• Align Chiropractic LLC

  • Chiropractor
  • Neenah, WI
  • NPI 1851623052
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1257379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265932800000",
    "number": "1851628283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1224 E AIRPORT RD",
            "city": "MENASHA",
            "state": "WI",
            "postal_code": "549522076",
            "telephone_number": "612-655-0491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 W WISCONSIN AVE",
            "city": "NEENAH",
            "state": "WI",
            "postal_code": "549562502",
            "telephone_number": "920-720-6300",
            "fax_number": "920-720-6315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'BRIEN",
        "first_name": "GRANT",
        "middle_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-11-05",
        "last_updated": "2010-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "4582-12",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tory J. Nordlinder, D.C.
• Jolanta B Norelli, MD/PHD
• Russell A Novak, MD
• Nutrimental Healthcare LLC
• Alyssa Marie O'Brien, D.C.
• Heather Ledoux O'Brien, PHARMD
• Erin Beth O'Connor
• Joanne M O'Malley-Mattio, RN
• Michelle O'Neill
• Dawn Marie Obrien, RPH

• Chiropractor in Neenah, WI
• Providers in Neenah, WI by specialty
• Chiropractor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2010; 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.