GRIMM CHIROPRACTIC PC (NPI# 1447314919) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447314919 |
| Entity Type | Organization |
| Organization Name | GRIMM CHIROPRACTIC PC |
| Practice Address |
5505 Lake Ave Saint Joseph MO 64504-1440 |
| Practice Telephone | 8162381200 |
| Practice Fax Number | 8162384900 |
| Mailing Telephone | 8162381200 |
| Mailing Fax Number | 8162384900 |
| Enumeration Date | 2006-12-20 |
| Last Update Date | 2007-09-18 |
| Authorized Official Name | DR. ROBERT GRIMM (PRESIDENT) |
| Authorized Official Telephone | 8162381200 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 006222 | MO | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | BCBSKC | 20645028 | 01 |
| Street Address |
5505 LAKE AVE |
| City | SAINT JOSEPH |
| State | MO |
| Zip Code | 64504-1440 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285676197 | Robert Grimm | Chiropractor | 5505 Lake Ave, Saint Joseph, MO 64504-1440 | 2006-06-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427151695 | David Cathcart | Family Medicine | 401 Illinois, Saint Joseph, MO 64504 | 2006-09-06 |
| 1477521995 | Deborah A Weems | Emergency Medicine | 5001 Lake Ave, Saint Joseph, MO 64504 | 2006-03-10 |
| 1548821184 | Kweku Osei | Nurse Practitioner | 5001 Lake Ave, Saint Joseph, MO 64504-1170 | 2019-06-25 |
| 1538655535 | Tiffani L Bradbury | Nurse Practitioner | 5001 Lake Ave, Saint Joseph, MO 64504-1170 | 2018-07-03 |
| 1891201869 | Nathan Eugene Noakes | Social Worker | 5001 Lake Ave, Saint Joseph, MO 64504-1170 | 2017-12-28 |
| 1992215271 | Kelly D Adkins | Social Worker | 5001 Lake Ave, Saint Joseph, MO 64504-1170 | 2017-10-02 |
| 1790294007 | Christian Dale Tanner | Nurse Practitioner | 5001 Lake Ave, Saint Joseph, MO 64504-1170 | 2017-09-29 |
| 1134662901 | Brittany Shea Mace | Nurse Practitioner | 5001 Lake Ave, Saint Joseph, MO 64504-1170 | 2016-11-29 |
| 1669928024 | Carissa Janel Crabb | Social Worker | 5001 Lake Ave, Saint Joseph, MO 64504-1170 | 2016-08-26 |
| 1790942910 | Cristyn Watkins | Family Medicine | 5001 Lake Ave, Saint Joseph, Saint Joseph, MO 64504-1170 | 2008-05-16 |
| Find all providers in zip 64504 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164928073 | Andrew Haeker | Chiropractor | 3120 Karnes Rd Ste B, Saint Joseph, MO 64506-4324 | 2018-04-01 |
| 1063949998 | Brian S Koltes | Chiropractor | 103 College Ave N, Saint Joseph, MN 56374 | 2017-05-23 |
| 1366873358 | Ashley Grace Mears | Chiropractor | 3007 N Belt Hwy, Saint Joseph, MO 64506-2064 | 2013-12-02 |
| 1598103400 | All Star Pediatric & Family Chiropractic Plc | Chiropractor | 2640 S Cleveland Ave, Saint Joseph, MI 49085-3002 | 2013-06-13 |
| 1144504010 | Lake Michigan Chiropractic, Pllc | Chiropractor | 4082 Red Arrow Hwy., Saint Joseph, MI 49085-9431 | 2011-10-10 |
| 1174811541 | Giles Chiropractic P.C. | Chiropractor | 3921 Oakland Ave, Saint Joseph, MO 64506-4920 | 2011-07-19 |
| 1861790545 | Michael Justin Rowe | Chiropractor | 3134 Niles Rd, Unit B, Saint Joseph, MI 49085-8652 | 2011-03-04 |
| 1376849398 | Chiropractic Healing & Restoration LLC | Chiropractor | 1512 S 17th St, Saint Joseph, MO 64503-2668 | 2011-02-09 |
| 1700186277 | Russell Eric Mead | Chiropractor | 4100 M 139, Suite 112, Saint Joseph, MI 49085-8672 | 2010-10-29 |
| 1275855660 | Dr Gerald Yurth Chiropractor LLC | Chiropractor | 1512 S 27th St, Saint Joseph, MO 64507-1847 | 2010-02-25 |
| Find all providers in SAINT JOSEPH | ||||
| City | SAINT JOSEPH |
| Zip Code | 64504 |
Please comment or provide details below to improve the information on GRIMM CHIROPRACTIC PC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.