1. Home
  2. Directory
  3. Oklahoma
  4. Tulsa
  5. Chiropractor
  6. NPI Profile

GRAN MIRACLE CHIROPRACTIC INC PC
NPI 1912191503
Chiropractor in Tulsa, OK

Active since August 28, 2007
3515 E 31ST ST, SUITE C, TULSA, OK 74135(918) 748-9876(918) 748-9331 Get Directions Write a Review

NPPES record last updated: November 28, 2007. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Gran Miracle Chiropractic Inc Pc NPPES

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

GRAN MIRACLE CHIROPRACTIC INC PC (NPI 1912191503) is a healthcare organization registered as a chiropractor in Tulsa, Oklahoma and active in the NPI registry since August 2007. The organization lists Pack L Miracle, President, as its authorized official.

NPPES Registry Identity

NPI1912191503
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameGRAN MIRACLE CHIROPRACTIC INC PC
Location Address3515 E 31ST ST, SUITE CTulsa, OK 74135-1520
Mailing Address3515 E 31st St, Suite CTulsa, OK 74135-1520 · (918) 748-9876 · Fax (918) 748-9331
Phone(918) 748-9876
Fax(918) 748-9331
Organization SubpartNo
Authorized OfficialPack L MiraclePresident · (918) 748-9876
Enumeration DateAugust 28, 2007
Last NPPES UpdateNovember 28, 2007
✔ NPI 1912191503 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in OK · 2476
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.
3515 E 31ST ST, Tulsa, OK 74135
Open in Google Maps ↗

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)

Gran Miracle Chiropractic Inc 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 Gran Miracle Chiropractic Inc PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Marcia Gran, D.C.
Chiropractic
NPI 1629107701
3515 E 31ST ST SUITE C
Tulsa, OK 74135
(918) 748-9876
✔ Accepts MedicareSame 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 Gran Miracle Chiropractic Inc PC's NPI number?

The NPI number for Gran Miracle Chiropractic Inc PC is 1912191503. It was assigned to this organization in the NPPES registry on August 28, 2007.

Where is Gran Miracle Chiropractic Inc PC located?

Gran Miracle Chiropractic Inc PC is located at 3515 E 31st St Suite C, Tulsa, OK 74135. The listed phone number is (918) 748-9876.

What is Gran Miracle Chiropractic Inc PC's specialty?

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

Is Gran Miracle Chiropractic Inc PC enrolled in Medicare?

Yes. Gran Miracle Chiropractic Inc PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Gran Miracle Chiropractic Inc PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Gran Miracle Chiropractic Inc 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 Gran Miracle Chiropractic Inc PC was last updated on November 28, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.