Individual provider Active NPI

Gaurav Mahendra Reshamwala, D.C.

  • Chiropractor
  • New Port Richey, FL
National Provider Identifier
1194068163
Registry record updated Oct 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH 10863 Issued in FL
Practice address
11900 Palm Bay CT
New Port Richey, FL 34654-2052
Phone
(727) 267-3946
NPI assigned
Mar 28, 2013
Last updated
Oct 29, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 29, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH 10863 FL Primary

Addresses

Primary practice location

11900 Palm Bay CT
New Port Richey, FL 34654-2052

Mailing address

11900 Palm Bay CT
New Port Richey, FL 34654-2052
Phone (727) 267-1618

Other practice location 1

2323 Curlew Rd Ste 7E
Dunedin, FL 34698-9332
Phone (727) 267-1618

Other practice location 2

13315 US Highway 19
Hudson, FL 34667-1659
Phone (727) 267-1618

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
CH 10863FLMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Federal Worker's Comp. Treatment Centers, LLC Chiropractor Current Accepting new patients
East-West Chiropractic & Rehabilitation of Hudson Past Accepting new patients
Neuro-Stat PastSince Feb 1, 2020 Accepting new patients
Federal Doctors R US, LLC PastSince Feb 26, 2023 Accepting new patients

Organizations & group practices 4

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": "1364428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730160000000",
    "number": "1194068163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11900 PALM BAY CT",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346542052",
            "telephone_number": "727-267-1618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11900 PALM BAY CT",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346542052",
            "telephone_number": "727-267-3946"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2323 Curlew Rd Ste 7E",
            "address_purpose": "LOCATION",
            "city": "Dunedin",
            "state": "FL",
            "postal_code": "346989332",
            "country_code": "US",
            "telephone_number": "727-267-1618",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13315 US Highway 19",
            "address_purpose": "LOCATION",
            "city": "Hudson",
            "state": "FL",
            "postal_code": "346671659",
            "country_code": "US",
            "telephone_number": "727-267-1618",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RESHAMWALA",
        "first_name": "GAURAV",
        "middle_name": "MAHENDRA",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-03-28",
        "last_updated": "2024-10-29",
        "certification_date": "2024-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH 10863",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Port Richey, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2024; 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.