Organization Active NPI

Dwayne Douglas Gbelia Sa-C PLLC

  • Surgical Assistant
  • Gilbert, AZ
National Provider Identifier
1023305836
Registry record updated Jun 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical AssistantTaxonomy code 246ZC0007X
License
09-137 Issued in AZ
Legal business name
DWAYNE DOUGLAS GBELIA SA-C PLLC
Practice address
3317 S Higley Rd
Suite 114-171
Gilbert, AZ 85297-5436
Phone
(480) 620-4498
Fax
(888) 411-9856
NPI assigned
Jun 30, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dwayne Douglas Gbelia, SA-CNPI 1760779672
Title
Owner
Phone
(480) 620-4498

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 246ZC0007X 09-137 AZ Primary

Addresses

Primary practice location

3317 S Higley Rd
Suite 114-171
Gilbert, AZ 85297-5436

Mailing address

3317 S Higley Rd
Suite 114-171
Gilbert, AZ 85297-5436
Phone (480) 620-4498

National Provider Directory

National Provider Directory

Locations

3317 S Higley Rd
Ste 114171
Gilbert, AZ 85297
Phone (480) 620-4498

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1309392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309392000000",
    "number": "1023305836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3317 S HIGLEY RD",
            "address_2": "SUITE 114-171",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852975436",
            "telephone_number": "480-620-4498",
            "fax_number": "888-411-9856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3317 S HIGLEY RD",
            "address_2": "SUITE 114-171",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852975436",
            "telephone_number": "480-620-4498",
            "fax_number": "888-411-9856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DWAYNE DOUGLAS GBELIA SA-C PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-30",
        "last_updated": "2011-06-30",
        "status": "A",
        "authorized_official_last_name": "GBELIA",
        "authorized_official_first_name": "DWAYNE",
        "authorized_official_middle_name": "DOUGLAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-620-4498",
        "authorized_official_credential": "SA-C"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "AZ",
            "license": "09-137",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jun 30, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.