Active NPI
Lawrence Stephen Grimm, D.C
- Chiropractor
- Dallas, TX
National Provider Identifier
1861637621
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 10863
- Practice address
- 6025 Royal Lane
Suite 6051
Dallas, TX 75230 - Phone
- (214) 696-5100
- Fax
- (214) 696-5110
- NPI assigned
- Dec 9, 2008
- Last updated
- Feb 3, 2009
- 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 | 10863 | TX | Primary |
Addresses
Primary practice location
6025 Royal Lane
Suite 6051
Dallas, TX 75230
Mailing address
6025 Royal Lane
Suite 6051
Dallas, TX 75230
Phone (214) 696-5100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10863 | TX | MD | Chiropractor |
Organizations & group practices 1
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": "1228780800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1233619200000",
"number": "1861637621",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6025 ROYAL LANE",
"address_2": "SUITE 6051",
"city": "DALLAS",
"state": "TX",
"postal_code": "75230",
"telephone_number": "214-696-5100",
"fax_number": "214-696-5110"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6025 ROYAL LANE",
"address_2": "SUITE 6051",
"city": "DALLAS",
"state": "TX",
"postal_code": "75230",
"telephone_number": "214-696-5100",
"fax_number": "214-696-5110"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRIMM",
"first_name": "LAWRENCE",
"middle_name": "STEPHEN",
"name_prefix": "Dr.",
"credential": "D.C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-12-09",
"last_updated": "2009-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TX",
"license": "10863",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.