Active NPI
Patricia Jeanne Gamboa, DC
- Chiropractor
- Charlotte, NC
National Provider Identifier
1013262526
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 3512
- Practice address
- 4805 Park Rd
Ste 225
Charlotte, NC 28209-3803 - Phone
- (704) 527-7246
- Fax
- (704) 527-3080
- NPI assigned
- Jul 20, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 3512 | NC | Primary |
Addresses
Primary practice location
4805 Park Rd
Ste 225
Charlotte, NC 28209-3803
Mailing address
4805 Park Rd
Ste 225
Charlotte, NC 28209-3803
Phone (704) 527-7246
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
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| De Health Partners PC | Chiropractor | Past | Accepting new patients |
| Scott David Greenapple | Chiropractor | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Chiropractor
- Charlotte, NC
- NPI 1194927079
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1342742400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1342742400000",
"number": "1013262526",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4805 PARK RD",
"address_2": "STE 225",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282093803",
"telephone_number": "704-527-7246",
"fax_number": "704-527-3080"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4805 PARK RD",
"address_2": "STE 225",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282093803",
"telephone_number": "704-527-7246",
"fax_number": "704-527-3080"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAMBOA",
"first_name": "PATRICIA",
"middle_name": "JEANNE",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-07-20",
"last_updated": "2012-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NC",
"license": "3512",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.