Active NPI
Jonathan Gralnick, D.C.
- Neurology Chiropractor
- Plantation, FL
National Provider Identifier
1881704377
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Chiropractor
- License
- CH5620
- Practice address
- 150 NW 70TH Ave
Suite #6
Plantation, FL 33317-2911 - Phone
- (954) 587-4245
- Fax
- (954) 587-9633
- NPI assigned
- Aug 30, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CH5620 | FL | |
| Neurology Chiropractor | 111NN0400X | CH5620 | FL | Primary |
Addresses
Primary practice location
150 NW 70TH Ave
Suite #6
Plantation, FL 33317-2911
Mailing address
150 NW 70TH Ave
Suite #6
Plantation, FL 33317-2911
Phone (954) 587-4245
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 380177200 | Medicaid | FL |
Other names 1
- Dr. Jon Gralnick
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 |
|---|---|---|---|
| CH5620 | FL | MD | Chiropractor |
| 5620 | FL | MD | Periodontist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| A Aventura Chiropractic Care Center Inc | Chiropractor | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Chiropractor
- Aventura, FL
- NPI 1881714269
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1276732800000",
"number": "1881704377",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "150 NW 70TH AVE",
"address_2": "SUITE #6",
"city": "PLANTATION",
"state": "FL",
"postal_code": "333172911",
"telephone_number": "954-587-4245",
"fax_number": "954-587-9633"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "150 NW 70TH AVE",
"address_2": "SUITE #6",
"city": "PLANTATION",
"state": "FL",
"postal_code": "333172911",
"telephone_number": "954-587-4245",
"fax_number": "954-587-9633"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRALNICK",
"first_name": "JONATHAN",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-30",
"last_updated": "2010-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "FL",
"license": "CH5620",
"primary": false
},
{
"code": "111NN0400X",
"taxonomy_group": "",
"desc": "Chiropractor, Neurology",
"state": "FL",
"license": "CH5620",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "380177200",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JON",
"last_name": "GRALNICK",
"prefix": "DR.",
"credential": "D.C",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Plantation, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.