Individual provider Active NPI

Robert Graykowski, D.C.

  • Chiropractor
  • Carmichael, CA
National Provider Identifier
1962510487
Registry record updated Nov 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC0171630 Issued in CA
Practice address
5909 Stanley Ave Ste a
Carmichael, CA 95608-3803
Phone
(916) 973-1661
Fax
(916) 973-8273
NPI assigned
Aug 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC0171630 CA Primary

Addresses

Primary practice location

5909 Stanley Ave Ste a
Carmichael, CA 95608-3803

Mailing address

5909 Stanley Ave Ste a
Carmichael, CA 95608-3803
Phone (916) 973-1611

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC0171630CAMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1290038400000",
    "number": "1962510487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5909 STANLEY AVE STE A",
            "city": "CARMICHAEL",
            "state": "CA",
            "postal_code": "956083803",
            "telephone_number": "916-973-1611",
            "fax_number": "916-973-8273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5909 STANLEY AVE STE A",
            "city": "CARMICHAEL",
            "state": "CA",
            "postal_code": "956083803",
            "telephone_number": "916-973-1661",
            "fax_number": "916-973-8273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAYKOWSKI",
        "first_name": "ROBERT",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-25",
        "last_updated": "2010-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC0171630",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carmichael, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2010; 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.