Active NPI
Todd E. Grubb, DC
- Chiropractor
- Capac, MI
National Provider Identifier
1861424541
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2301007710
- Practice address
- 116 N Main St
Capac, MI 48014 - Phone
- (810) 395-2679
- Fax
- (810) 395-8809
- NPI assigned
- Jul 6, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2301007710 | MI | Primary |
Addresses
Primary practice location
116 N Main St
Capac, MI 48014
Mailing address
116 N Main St
PO Box 368
Capac, MI 48014
Phone (810) 395-2679
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| OG45056 | Other | BLUE CROSS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Life Chiropractic College - West, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
116 N Main St
Capac, MI 48014-3142
Phone (810) 395-2679
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2301007710 | MI | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Harvey Family Chiropractic PLLC | Chiropractor | Current | Accepting new patients |
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.
-
- Chiropractor
- Capac, MI
- NPI 1801911961
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152144000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1861424541",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "116 N MAIN ST",
"address_2": "PO BOX 368",
"city": "CAPAC",
"state": "MI",
"postal_code": "48014",
"telephone_number": "810-395-2679",
"fax_number": "810-395-8809"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "116 N MAIN ST",
"city": "CAPAC",
"state": "MI",
"postal_code": "48014",
"telephone_number": "810-395-2679",
"fax_number": "810-395-8809"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRUBB",
"first_name": "TODD",
"middle_name": "E.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MI",
"license": "2301007710",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "OG45056",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Capac, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.