Matthew D Gravel, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

5560 Issued in MN

Practice address

333 Grand Ave
Saint Paul, MN 55102-2582

Phone

(651) 294-2332

Fax

(651) 294-2333

NPI assigned

Oct 4, 2007

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

Practice roles

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.

• Bluewater Chiropractic PC

  • Chiropractor
  • Woodbury, MN
  • NPI 1548527872
  NPD (past)
• Midway Chiropractic and Health Services PA

  • Chiropractor
  • Saint Paul, MN
  • NPI 1912195124
  NPD (past)
• Primary Care Chiropractic LLC

  • Chiropractor
  • Ballwin, MO
  • NPI 1003856832
  NPD (past)

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

{
    "created_epoch": "1191456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317340800000",
    "number": "1902094840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 GRAND AVE",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551022582",
            "telephone_number": "651-294-2332",
            "fax_number": "651-294-2333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 GRAND AVE",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551022582",
            "telephone_number": "651-294-2332",
            "fax_number": "651-294-2333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAVEL",
        "first_name": "MATTHEW",
        "middle_name": "D",
        "name_prefix": "Mr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-10-04",
        "last_updated": "2011-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "5560",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP TAX ID#",
            "identifier": "262213271",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melissa Aline Grant, PA-C
• Tiffany Marie Thayer Grant, LICSW
• Christianna Gratz Carlin, PT
• Thomas G Gratzer, MD
• Patrick C Graupman, MD
• Krista K Graven, MD
• Billie Lynn Gray, PSYD
• Bonnie Lee Gray, PH.D.
• Carrie Jean Gray, PA C
• Dylan Amelia Gray, MSW, LGSW

• Chiropractor in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2011; 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.