Great Basin Spine and Sports
NPI 1639485014ActiveOrganization· Chiropractor· Washington Terrace, UT
Chiropractor in Washington Terrace, Utah, registered in NPPES in August 2010. The authorized official on file is Michael Gregory Graves, D.C., Single Member. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1639485014 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 24, 2010 |
| Last updated in NPPES | Dec 28, 2010 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Chiropractor Primary | 111N00000X | 7617785-1202 | UT |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (UT) |
|---|
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