Organization Active NPI

Eric a Galla Chiropractic PC

  • Chiropractor
  • Las Vegas, NV
National Provider Identifier
1104067594
Registry record updated May 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
ERIC A GALLA CHIROPRACTIC PC
Practice address
9330 W Flamingo Rd Ste 112a
Las Vegas, NV 89147-6447
Phone
(702) 932-6100
NPI assigned
Mar 13, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2023

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

Authorized official

Name
Mrs. Julianne Watson-Galla
Title
Administration
Phone
(760) 274-3294

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X DC22338 CA
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

9330 W Flamingo Rd Ste 112a
Las Vegas, NV 89147-6447

Mailing address

9330 W Flamingo Rd Ste 112a
Las Vegas, NV 89147-6447
Phone (702) 932-6100

Other identifiers 1

IdentifierTypeStateIssuer
1265641849OtherNPI TYPE I

Other names 1

  • Galla Chiropractic Group Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230601001224 NV Part B Supplier - Clinic/Group Practice 7719344043 Receives reassigned benefits from 1 practitioner
Practice locations: Las Vegas, NV

National Provider Directory

National Provider Directory

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": "1236902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682985600000",
    "number": "1104067594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9330 W FLAMINGO RD STE 112A",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891476447",
            "telephone_number": "702-932-6100",
            "fax_number": "702-932-6102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9330 W FLAMINGO RD STE 112A",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891476447",
            "telephone_number": "702-932-6100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERIC A GALLA CHIROPRACTIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-13",
        "last_updated": "2023-05-02",
        "certification_date": "2022-07-11",
        "status": "A",
        "authorized_official_last_name": "WATSON-GALLA",
        "authorized_official_first_name": "JULIANNE",
        "authorized_official_title_or_position": "ADMINISTRATION",
        "authorized_official_telephone_number": "760-274-3294",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC22338",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI TYPE I",
            "identifier": "1265641849",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Galla Chiropractic Group",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Galla Chiropractic Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2023; 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.

Verify at the official NPI Registry.