Individual provider Active NPI

Dante Vincent Gurgigno, D.C.

  • Chiropractor
  • Acworth, GA
National Provider Identifier
1144278623
Registry record updated Apr 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIR009528 Issued in GA
Practice address
3889 Cobb Pkwy NW
Acworth, GA 30101-4084
Phone
(770) 975-1299
Fax
(770) 975-1361
NPI assigned
May 5, 2006
Last updated
Apr 11, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X X010690-1 NY
Chiropractor 111N00000X CHIR009528 GA Primary

Addresses

Primary practice location

3889 Cobb Pkwy NW
Acworth, GA 30101-4084

Mailing address

3889 Cobb Pkwy NW
Acworth, GA 30101-4084
Phone (770) 975-1299

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

State licenses

LicenseStateTypeSpecialty
CHIR009528GAMDChiropractor
X010690-1NYMDChiropractor
010690NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Synergy Medical Centers, LLC. PastSince Mar 25, 2013 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491868800000",
    "number": "1144278623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3889 COBB PKWY NW",
            "city": "ACWORTH",
            "state": "GA",
            "postal_code": "301014084",
            "telephone_number": "770-975-1299",
            "fax_number": "770-975-1361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3889 COBB PKWY NW",
            "city": "ACWORTH",
            "state": "GA",
            "postal_code": "301014084",
            "telephone_number": "770-975-1299",
            "fax_number": "770-975-1361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GURGIGNO",
        "first_name": "DANTE",
        "middle_name": "VINCENT",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-05",
        "last_updated": "2017-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X010690-1",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR009528",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Acworth, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2017; 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.