Active NPI
Tare C Gurira, D.C.
- Rehabilitation Chiropractor
- Gilbert, AZ
National Provider Identifier
1013123264
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Chiropractor
- License
- 7229
- Practice address
- 1094 S Gilbert Rd BLDG B-2
Gilbert, AZ 85296-3445 - Phone
- (480) 926-0888
- Fax
- (480) 926-0886
- NPI assigned
- May 15, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Chiropractor | 111NR0400X | 7229 | AZ | Primary |
| Physical Therapist | 225100000X | 4078 | AZ |
Addresses
Primary practice location
1094 S Gilbert Rd BLDG B-2
Gilbert, AZ 85296-3445
Mailing address
2320 W Megan St
Chandler, AZ 85224-3485
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AZ0942740 | Other | AZ | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7229 | AZ | MD | Rehabilitation Chiropractor |
| 4078 | AZ | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Infinite Wellness Chiropractic | Rehabilitation | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Rehabilitation Chiropractor
- Gilbert, AZ
- NPI 1811172687
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179187200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1205798400000",
"number": "1013123264",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2320 W MEGAN ST",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "852243485"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1094 S GILBERT RD BLDG B-2",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852963445",
"telephone_number": "480-926-0888",
"fax_number": "480-926-0886"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GURIRA",
"first_name": "TARE",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-15",
"last_updated": "2008-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "111NR0400X",
"taxonomy_group": "",
"desc": "Chiropractor, Rehabilitation",
"state": "AZ",
"license": "7229",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AZ",
"license": "4078",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "AZ0942740",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Gilbert, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.