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GRADY CHIROPRACTIC PC
NPI 1740417799
Chiropractor in Centennial, CO

Active since June 17, 2009
15352 E IDA DR, UNIT B, CENTENNIAL, CO 80015(303) 690-8822(720) 870-4052 Get Directions Write a Review

NPPES record last updated: October 29, 2009. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Grady Chiropractic Pc NPPES

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

GRADY CHIROPRACTIC PC (NPI 1740417799) is a healthcare organization registered as a chiropractor in Centennial, Colorado and active in the NPI registry since June 2009. The organization lists Shandon Grady, Doctor, as its authorized official.

NPPES Registry Identity

NPI1740417799
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameGRADY CHIROPRACTIC PC
Location Address15352 E IDA DR, UNIT BCentennial, CO 80015-4286
Mailing Address15352 E Ida Dr, Unit BCentennial, CO 80015-4286 · (303) 690-8822 · Fax (720) 870-4052
Phone(303) 690-8822
Fax(720) 870-4052
Organization SubpartNo
Authorized OfficialShandon GradyDoctor · (303) 690-8822
Enumeration DateJune 17, 2009
Last NPPES UpdateOctober 29, 2009
✔ NPI 1740417799 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in CO · 4524
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.
15352 E IDA DR, Centennial, CO 80015
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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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Grady Chiropractic Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Grady Chiropractic PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Shandon Grady, D.C.
Chiropractic
NPI 1316926884
15352 E IDA DR UNIT B
Centennial, CO 80015
(303) 690-8822
Same address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Grady Chiropractic PC's NPI number?

The NPI number for Grady Chiropractic PC is 1740417799. It was assigned to this organization in the NPPES registry on June 17, 2009.

Where is Grady Chiropractic PC located?

Grady Chiropractic PC is located at 15352 E Ida Dr Unit B, Centennial, CO 80015. The listed phone number is (303) 690-8822.

What is Grady Chiropractic PC's specialty?

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

Is Grady Chiropractic PC enrolled in Medicare?

Yes. Grady Chiropractic PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Grady Chiropractic PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Grady Chiropractic PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Grady Chiropractic PC was last updated on October 29, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.