Active NPI
Daniel Corey Grant, D.C.
- Chiropractor
- Chandler, AZ
National Provider Identifier
1972678035
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 7130
- Practice address
- 2510 W Chandler Blvd Ste 3
Chandler, AZ 85224-4919 - Phone
- (480) 786-9222
- Fax
- (480) 786-6997
- NPI assigned
- Nov 22, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 7130 | AZ | Primary |
Addresses
Primary practice location
2510 W Chandler Blvd Ste 3
Chandler, AZ 85224-4919
Mailing address
3366 E Raven Dr
Chandler, AZ 85249-5738
Phone (602) 502-2602
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
| License | State | Type | Specialty |
|---|---|---|---|
| 7130 | AZ | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grant Chiropractic Life Center, P.C. | Chiropractor | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Chiropractor
- Chandler, AZ
- NPI 1275734907
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164153600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1972678035",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3366 E RAVEN DR",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "852495738",
"telephone_number": "602-502-2602",
"fax_number": "480-786-6997"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2510 W CHANDLER BLVD STE 3",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "852244919",
"telephone_number": "480-786-9222",
"fax_number": "480-786-6997"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRANT",
"first_name": "DANIEL",
"middle_name": "COREY",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-22",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "AZ",
"license": "7130",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chandler, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.