Dr. Edward Grootendorst , DC
Chiropractor • Madera, CA
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Edward Grootendorst has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Edward Grootendorst, DC was a registered Chiropractor practicing in Madera, CA. Throughout an active medical career spanning 13 years, Dr. Grootendorst provided care at the practice location at 900 W YOSEMITE AVE until profile deactivation on 2019-10-14.
Practice Location & Contact Primary Location
900 W Yosemite Ave
Madera, CA 936374555
Specialty Benchmarks & Practice Insights
Comparative analytics for Chiropractor in Madera, CA
Practicing in Madera, CA (12100 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 111N00000X
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.
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Chiropractor
Doctor of Chiropractic
Chiropractor
Doctor of Chiropractic
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on October 14, 2019
NPI status registered as active in NPPES database
Registered at 900 W YOSEMITE AVE, MADERA, CA 936374555 (Tel: 5596748892)
Registered at 900 W YOSEMITE AVE, MADERA, CA 936374555 (Tel: 5596748892)
Recorded as EDWARD GROOTENDORST, DC
Chiropractor (License #8768 in CA)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
900 W Yosemite Ave
Madera, CA 936374555
Phone: 5596748892
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