NPIMap

Organization Active NPI

Grose Chiropractic, P.C.

  • Chiropractor
  • Shenandoah, PA
National Provider Identifier
1912119181
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC009712 Issued in PA
Legal business name
GROSE CHIROPRACTIC, P.C.
Practice address
24 N Main St
Shenandoah, PA 17976-1777
Phone
(570) 462-1700
Fax
(570) 462-1701
NPI assigned
May 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Dawn-Marie Kelly Grose, D.C.
Title
President
Phone
(570) 462-1700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X DC009712 PA Primary

Addresses

Primary practice location

24 N Main St
Shenandoah, PA 17976-1777

Mailing address

24 N Main St
Shenandoah, PA 17976-1777
Phone (570) 462-1700

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1912119181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 N MAIN ST",
            "city": "SHENANDOAH",
            "state": "PA",
            "postal_code": "179761777",
            "telephone_number": "570-462-1700",
            "fax_number": "570-462-1701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 N MAIN ST",
            "city": "SHENANDOAH",
            "state": "PA",
            "postal_code": "179761777",
            "telephone_number": "570-462-1700",
            "fax_number": "570-462-1701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GROSE CHIROPRACTIC, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GROSE",
        "authorized_official_first_name": "DAWN-MARIE",
        "authorized_official_middle_name": "KELLY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "570-462-1700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC009712",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shenandoah, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.