ADAM GRANVILLE DC
NPI 1740926179
Chiropractor in Omaha, NE
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
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Adam Granville Dc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Adam Granville reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Chicago, IL 60642
- Reassigned Medicare billing, Illinois enrollment
- 2 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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.
Which organization bills Medicare for Adam Granville's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Adam Granville reassigns Medicare benefits to Chiro One Wellness Center Metro Of Old Town LLC (Chicago, IL). The 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 Adam Granville's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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.
# Adam Granville, DC · NPI 1740926179
Chiropractor provider in Omaha, Nebraska. Individual provider, active in the CMS NPPES registry since May 9, 2022.
## Identity
- **NPI:** 1740926179 (Entity type: Individual)
- **Enumerated:** May 9, 2022
- **Primary specialty:** Chiropractor · taxonomy 111N00000X
- **State license:** 2129 (Nebraska)
- **Sole proprietor:** No
## Practice location
- **Address:** 1817 N 169TH PLZ STE B, Omaha, NE 68118-2822
- **Phone:** (402) 932-8108
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Bills Medicare through:** Chiro One Wellness Center Metro Of Old Town LLC (NPI 1063435402, Chicago, IL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Cleveland Chiropractic College - Kansas City, class of 2022
## Record status
- **NPPES last updated:** May 9, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1740926179) · Data from the CMS NPPES public registry.