Grove Chiropractic & Sports Injury, PA

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

01-05362 Issued in KS

Legal business name

GROVE CHIROPRACTIC & SPORTS INJURY, PA

Practice address

1309 Williams St
Great Bend, KS 67530-4447

Phone

(620) 792-3678

Fax

(620) 792-3670

NPI assigned

Dec 6, 2010

Last updated

Jan 19, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jesse L Grove, D.C.NPI 1902047673

Title

President

Phone

(620) 792-3678

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jesse L Grove, D.C.

  • Chiropractor
  • Great Bend, KS
  • NPI 1902047673
  Authorized official Same address or phone

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

{
    "created_epoch": "1291593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295395200000",
    "number": "1942503446",
    "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": {
        "organization_name": "GROVE CHIROPRACTIC & SPORTS INJURY, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-06",
        "last_updated": "2011-01-19",
        "status": "A",
        "authorized_official_last_name": "GROVE",
        "authorized_official_first_name": "JESSE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "620-792-3678",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KS",
            "license": "01-05362",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Great Bend Usd 428 Barton County Special Services Coop
• Great Bend-LTC, LLC (Great Bend Health & Rehabilitation Center)
• Greene Chiropractic Back
• Paul T Greene Jr., D.C.
• Alice Joyce Griffitt, MSN, ARNP, BC, CNS
• Jesse L Grove, D.C.
• Christopher Glenn Gulick, DC
• Edmond Habash, P.A-C
• Jeanne L Habash, PA-C
• Shauna Hackerott

• 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 Jan 19, 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.