Grootendorst Chiropractic Professional Corporation

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

GROOTENDORST CHIROPRACTIC PROFESSIONAL CORPORATION

Practice address

900 W Yosemite Ave
Madera, CA 93637

Phone

(559) 674-8892

Fax

(559) 674-1389

NPI assigned

Aug 5, 2006

Last updated

Apr 16, 2020By 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. David Grootendorst, D.C.NPI 1225118177

Title

Owner

Phone

(559) 674-8892

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 2

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.

• David Grootendorst, DC

  • Chiropractor
  • Madera, CA
  • NPI 1225118177
  Medicare reassignment Care Compare group NPD Authorized official
• John Grootendorst, DC

  • Chiropractor
  • Madera, CA
  • NPI 1780765073
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586995200000",
    "number": "1972512184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 W YOSEMITE AVE",
            "city": "MADERA",
            "state": "CA",
            "postal_code": "936374555",
            "telephone_number": "559-674-8892",
            "fax_number": "559-674-1389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 W YOSEMITE AVE",
            "city": "MADERA",
            "state": "CA",
            "postal_code": "93637",
            "telephone_number": "559-674-8892",
            "fax_number": "559-674-1389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GROOTENDORST CHIROPRACTIC PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-05",
        "last_updated": "2020-04-16",
        "certification_date": "2020-04-16",
        "status": "A",
        "authorized_official_last_name": "GROOTENDORST",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "559-674-8892",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI-CAL",
            "identifier": "GDC000470",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kulraj Singh Grewal, MD
• Parwinder Kaur Grewal
• Kimberly Lynn Griffith
• Baylee Griggs
• Biana Grogg, RN, PHN
• David Grootendorst, DC
• John Grootendorst, DC
• Erin Grosz
• Cristo Jose Guardado Salazar, MD
• Christine Valle Guardado

• Chiropractor in Madera, CA
• Providers in Madera, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.