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ADAM GRANVILLE DC
NPI 1740926179
Chiropractor in Omaha, NE

Active since May 09, 2022
1817 N 169TH PLZ STE B, OMAHA, NE 68118(402) 932-8108 Get Directions Write a Review

NPPES record last updated: May 9, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Adam Granville Dc NPPES

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

ADAM GRANVILLE DC (NPI 1740926179) is an individual chiropractor in Omaha, Nebraska, licensed in Nebraska (2129) and active in the NPI registry since May 2022. He is a graduate of Cleveland Chiropractic College - Kansas City (2022).

NPPES Registry Identity

NPI1740926179
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameADAM GRANVILLECredential: DC
Location Address1817 N 169TH PLZ STE BOmaha, NE 68118-2822
Mailing Address1817 N 169th Plz Ste BOmaha, NE 68118-2822 · (402) 932-8108
Phone(402) 932-8108
Sole ProprietorNo
Medical School CMSCleveland Chiropractic College - Kansas CityGraduated 2022
Enumeration DateMay 9, 2022
NPPES CertifiedMay 9, 2022
✔ NPI 1740926179 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in NE · 2129
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.
1817 N 169TH PLZ STE B, Omaha, NE 68118
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Adam Granville Dc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID446637557
PECOS Enrollment IDI20260519003208

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. MITCH A JOHNSON L.M.T.
Massage Therapist
1817 N 169TH PLZ STE B
OMAHA, NE 68118
Douglas County (402) 932-8108

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 Adam Granville's NPI number?

The NPI number for Adam Granville is 1740926179. It was assigned to this individual provider in the NPPES registry on May 9, 2022.

Where is Adam Granville located?

Adam Granville practices at 1817 N 169th Plz Ste B, Omaha, NE 68118. The listed phone number is (402) 932-8108.

What is Adam Granville's specialty?

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

Is Adam Granville enrolled in Medicare?

Yes. Adam Granville is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Adam Granville was last updated on May 9, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.