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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

GRACE SPINE LLC
NPI 1720901960
Chiropractor in Jacksonville, FL

Active since August 03, 2026
7685 103RD ST STE 101, JACKSONVILLE, FL 32210(314) 629-5794 Get Directions Write a Review

NPPES record added: August 3, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Grace Spine Llc NPPES

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

GRACE SPINE LLC (NPI 1720901960) is a healthcare organization registered as a chiropractor in Jacksonville, Florida and active in the NPI registry since August 2026. The organization lists Jason Corey Goodman, Owner, as its authorized official.

NPPES Registry Identity

NPI1720901960
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameGRACE SPINE LLC
Location Address7685 103RD ST STE 101Jacksonville, FL 32210-9325
Mailing Address27 Walnut Knoll CtSaint Charles, MO 63304-4549 · (314) 629-5794
Phone(314) 629-5794
Organization SubpartNo
Authorized OfficialJason Corey GoodmanOwner · (314) 629-5794
Enumeration DateAugust 3, 2026
NPPES CertifiedAugust 3, 2026
✔ NPI 1720901960 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
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.
7685 103RD ST STE 101, Jacksonville, FL 32210
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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 Grace Spine LLC's NPI number?

The NPI number for Grace Spine LLC is 1720901960. It was assigned to this organization in the NPPES registry on August 3, 2026.

Where is Grace Spine LLC located?

Grace Spine LLC is located at 7685 103rd St Ste 101, Jacksonville, FL 32210. The listed phone number is (314) 629-5794.

What is Grace Spine LLC'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 Grace Spine LLC was last updated on August 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 days 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.