Gregory Emil Denver, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2456 Issued in MN

Practice address

107 SE 10TH St
Grand Rapids, MN 55744-3914

Phone

(218) 326-0071

Fax

(218) 327-1999

NPI assigned

Dec 5, 2006

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

Enrolled in MN

Enrollment records 1

Specialty

Chiropractic

Education

Northwestern College of Chiropractic, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Denver Chiropractic PA

  • Chiropractor
  • Grand Rapids, MN
  • NPI 1558577932
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212451200000",
    "number": "1922166461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 SE 10TH ST",
            "city": "GRAND RAPIDS",
            "state": "MN",
            "postal_code": "557443914",
            "telephone_number": "218-326-0071",
            "fax_number": "218-327-1999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 SE 10TH ST",
            "city": "GRAND RAPIDS",
            "state": "MN",
            "postal_code": "557443914",
            "telephone_number": "218-326-0071",
            "fax_number": "218-327-1999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DENVER",
        "first_name": "GREGORY",
        "middle_name": "EMIL",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-05",
        "last_updated": "2008-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "2456",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "790328600",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Angela Degrio, M.D.
• Arie Degrio
• Rhea Lou Valdez Del Rosario, PMHNP
• Rochelle Jean Delgreco, LICSW
• Denver Chiropractic PA
• Dermatology Professionals, PA
• Alan Jay Dettmer, PT
• Amy Marie Dolan, L.AC
• Drusilea Donato, LICSW
• Stephanie Lyn Downing

• Chiropractor in Grand Rapids, MN
• Providers in Grand Rapids, MN by specialty
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2008; 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.