Jesse L Grove, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

01-05362 Issued in KS

Practice address

1309 Williams St
Great Bend, KS 67530-4447

Phone

(620) 792-3678

Fax

(620) 792-3670

NPI assigned

Mar 10, 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 KS

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Pick Chiropractic, P.a.

  • Sports Physician Chiropractor
  • Dodge City, KS
  • NPI 1356492391
  Medicare reassignment NPD

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

{
    "created_epoch": "1236643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291593600000",
    "number": "1902047673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1309 WILLIAMS ST",
            "city": "GREAT BEND",
            "state": "KS",
            "postal_code": "675304447",
            "telephone_number": "620-792-3678",
            "fax_number": "620-792-3670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1309 WILLIAMS ST",
            "city": "GREAT BEND",
            "state": "KS",
            "postal_code": "675304447",
            "telephone_number": "620-792-3678",
            "fax_number": "620-792-3670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROVE",
        "first_name": "JESSE",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-03-10",
        "last_updated": "2010-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KS",
            "license": "01-05362",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Great Bend-LTC, LLC
• Greene Chiropractic Back
• Paul T Greene Jr., D.C.
• Alice Joyce Griffitt, MSN, ARNP, BC, CNS
• Grove Chiropractic & Sports Injury, PA
• Christopher Glenn Gulick, DC
• Edmond Habash, P.A-C
• Jeanne L Habash, PA-C
• Shauna Hackerott
• Hafner Chiropractic Clinic, P. a.

• Chiropractor in Great Bend, KS
• Providers in Great Bend, KS by specialty
• Chiropractor in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 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.