Active NPI
Jason Grimard
- Rehabilitation Chiropractor
- Quincy, MA
National Provider Identifier
1982180741
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Chiropractor
- License
- 3620
- Practice address
- 45 Virginia Rd
Quincy, MA 02169-2425 - Phone
- (413) 834-8897
- NPI assigned
- Jul 16, 2018
- 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 |
|---|---|---|---|---|
| Rehabilitation Chiropractor | 111NR0400X | 3620 | MA | Primary |
Addresses
Primary practice location
45 Virginia Rd
Quincy, MA 02169-2425
Mailing address
45 Virginia Rd
Quincy, MA 02169-2425
Phone (413) 834-8897
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
20 Oak St
Beverly, MA 01915-2230
Phone (413) 834-8897
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3620 | MA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grimard Chiropractic | Single Specialty | Current | Accepting new patients |
| Koenig Family Chiropractic, Inc | Single Specialty | Current | Accepting new patients |
Locations
20 Oak St
Beverly, MA 01915
Phone (413) 834-8897
85 Samoset St
Plymouth, MA 02360
Phone (508) 746-5899
Organizations & group practices 2
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1531699200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1531699200000",
"number": "1982180741",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "45 VIRGINIA RD",
"city": "QUINCY",
"state": "MA",
"postal_code": "021692425",
"telephone_number": "413-834-8897"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "45 VIRGINIA RD",
"city": "QUINCY",
"state": "MA",
"postal_code": "021692425",
"telephone_number": "413-834-8897"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRIMARD",
"first_name": "JASON",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-07-16",
"last_updated": "2018-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "111NR0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor, Rehabilitation",
"state": "MA",
"license": "3620",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Quincy, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2018; 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.