CANYON CHIROPRACTIC
NPI 1619059060
Chiropractor in Canyon Lake, TX

Active since October 19, 2006
14812 SOUTH ACCESS ROAD, CANYON LAKE, TX 78133(830) 907-3811(830) 907-3812 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Canyon Chiropractic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CANYON CHIROPRACTIC (NPI 1619059060) is a healthcare organization registered as a chiropractor in Canyon Lake, Texas and active in the NPI registry since October 2006. The organization lists Brandon W Grimm, President/owner, as its authorized official.

NPPES Registry Identity

NPI1619059060
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameBRANDON GRIMM D.C. P.A.
Location Address14812 SOUTH ACCESS ROADCanyon Lake, TX 78133
Mailing Address14812 South Access RoadCanyon Lake, TX 78133 · (830) 907-3811 · Fax (830) 907-3812
Fax(830) 907-3812
Organization SubpartNo
Authorized OfficialBrandon W GrimmPresident/owner · (830) 907-3811
Enumeration DateOctober 19, 2006
Last NPPES UpdateAugust 22, 2020
NPI 1619059060 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License Licensed in TX · 9268
Definition
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.
14812 SOUTH ACCESS ROAD, Canyon Lake, TX 78133

Other Names 1

Doing Business AsCanyon Chiropractic

Other Identifiers 2

Other1033146170TX · Individual Npi #
Other8U9450TX · Blue Cross Blue Shield

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Brandon Grimm D.C. P.A.'s NPI number?

The NPI number for Brandon Grimm D.C. P.A. is 1619059060. It was assigned to this organization in the NPPES registry on October 19, 2006. The provider is doing business as Canyon Chiropractic.

Where is Brandon Grimm D.C. P.A. located?

Brandon Grimm D.C. P.A. is located at 14812 South Access Road, Canyon Lake, TX 78133. The listed phone number is (830) 907-3811.

What is Brandon Grimm D.C. P.A.'s specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

When was this NPI record last updated?

The NPPES record for Brandon Grimm D.C. P.A. was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.