Martin Irwin Gruder, D.C.

Primary specialty

Orthopedic ChiropractorTaxonomy code 111NX0800X

License

983 Issued in MA

Practice address

112A Park St
North Attleboro, MA 02760-1213

Phone

(508) 699-2228

Fax

(508) 695-3560

NPI assigned

Feb 12, 2007

Last updated

Jun 6, 2018By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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.

• Kelley Boulevard Chiropractic

  • Chiropractor
  • Plainville, MA
  • NPI 1083895221
  Authorized official Same address or phone

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528243200000",
    "number": "1871635466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2115",
            "city": "PLAINVILLE",
            "state": "MA",
            "postal_code": "02762",
            "telephone_number": "508-699-2228",
            "fax_number": "508-695-3560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112A PARK ST",
            "city": "NORTH ATTLEBORO",
            "state": "MA",
            "postal_code": "027601213",
            "telephone_number": "508-699-2228",
            "fax_number": "508-695-3560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRUDER",
        "first_name": "MARTIN",
        "middle_name": "IRWIN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-12",
        "last_updated": "2018-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NX0800X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Orthopedic",
            "state": "MA",
            "license": "983",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1613634",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amanda Gordon
• Mary Goss, PT
• Sodana Gracien
• Alyssa Lee Gramstorff, PA-C
• Jill M Greeley, PTA
• Tracy E Grunewald, RPH
• Merarys Guilloty
• Kathryn M Hansen, MD
• Lauren Hanson
• Harborstone Care

• Orthopedic Chiropractor in North Attleboro, MA
• Providers in North Attleboro, MA by specialty
• Orthopedic Chiropractor in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.