Active NPI
Robert Wayne Kovacs, D.C.
- Chiropractor
- Gilroy, CA
National Provider Identifier
1063436053
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 17234
- Practice address
- 7888 Wren Ave
Suite B123
Gilroy, CA 95020-4962 - Phone
- (408) 848-3666
- Fax
- (408) 848-3667
- NPI assigned
- Jul 26, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 17234 | CA | Primary |
Addresses
Primary practice location
7888 Wren Ave
Suite B123
Gilroy, CA 95020-4962
Mailing address
7888 Wren Ave
Suite B123
Gilroy, CA 95020-4962
Phone (408) 848-3666
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100722000198 | CA | Practitioner - Chiropractic | 7214069590 | Practice locations: Gilroy, CA |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gilroy Chiropractic Center | Chiropractor | 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.
-
- Chiropractor
- Gilroy, CA
- NPI 1114043932
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1268006400000",
"number": "1063436053",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7888 WREN AVE",
"address_2": "SUITE B123",
"city": "GILROY",
"state": "CA",
"postal_code": "950204962",
"telephone_number": "408-848-3666",
"fax_number": "408-848-3667"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7888 WREN AVE",
"address_2": "SUITE B123",
"city": "GILROY",
"state": "CA",
"postal_code": "950204962",
"telephone_number": "408-848-3666",
"fax_number": "408-848-3667"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOVACS",
"first_name": "ROBERT",
"middle_name": "WAYNE",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-26",
"last_updated": "2010-03-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "17234",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gilroy, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.