NPIMap

Organization Active NPI

Gdi Venture, Inc

  • Chiropractor
  • Rio Rancho, NM
National Provider Identifier
1114320389
Registry record updated Oct 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1664 Issued in NM
Legal business name
GDI VENTURE, INC
Practice address
1511 Golf Course Rd SE
Ste. C
Rio Rancho, NM 87124-1956
Phone
(505) 933-8600
Fax
(505) 933-8601
NPI assigned
Oct 2, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2014

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

Authorized official

Name
Dr. Dean Craig Wasson, D.C., NM-APCNPI 1124084348
Title
Owner
Phone
(505) 933-8600

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 1664 NM Primary

Addresses

Primary practice location

1511 Golf Course Rd SE
Ste. C
Rio Rancho, NM 87124-1956

Mailing address

1511 Golf Course Rd SE
Ste. C
Rio Rancho, NM 87124-1956
Phone (505) 933-8600

Other names 1

  • Wellspring Chiropractic Doing business as

National Provider Directory

National Provider Directory

Locations

1511 Golf Course Rd SE
Ste C
Rio Rancho, NM 87124
Phone (505) 933-8600

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": "1412208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412208000000",
    "number": "1114320389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1511 GOLF COURSE RD SE",
            "address_2": "STE. C",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871241956",
            "telephone_number": "505-933-8600",
            "fax_number": "505-933-8601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1511 GOLF COURSE RD SE",
            "address_2": "STE. C",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871241956",
            "telephone_number": "505-933-8600",
            "fax_number": "505-933-8601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GDI VENTURE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-02",
        "last_updated": "2014-10-02",
        "status": "A",
        "authorized_official_last_name": "WASSON",
        "authorized_official_first_name": "DEAN",
        "authorized_official_middle_name": "CRAIG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "505-933-8600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C., NM-APC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NM",
            "license": "1664",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wellspring Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rio Rancho, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2014; 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.