Organization Active NPI

Oracle Industries I LTD

Doing business as Gilbertsons Chiropractic Clinic

  • Chiropractor
  • Phoenix, AZ
National Provider Identifier
1215928734
Registry record updated Jan 31, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
ORACLE INDUSTRIES I LTD
Doing business as
Gilbertsons Chiropractic Clinic
Practice address
3919 W Cactus Rd
Phoenix, AZ 85029-2935
Phone
(602) 547-1860
Fax
(602) 547-1861
NPI assigned
Nov 3, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2008

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

Authorized official

Name
Shawn R Gilbertson, DCNPI 1154303691
Title
President
Phone
(602) 547-1860

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 Primary

Addresses

Primary practice location

3919 W Cactus Rd
Phoenix, AZ 85029-2935

Mailing address

3919 W Cactus Rd
Phoenix, AZ 85029-2935
Phone (602) 547-1860

Other names 1

  • Gilbertsons Chiropractic Clinic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040621001421 AZ Part B Supplier - Clinic/Group Practice 6305821653 Receives reassigned benefits from 4 practitioners
Practice locations: Phoenix, AZ

National Provider Directory

National Provider Directory

Locations

3919 W Cactus Rd
Phoenix, AZ 85029
Phone (602) 547-1860

Practitioners & affiliated clinicians

Practitioners 4

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": "1130976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201737600000",
    "number": "1215928734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3919 W CACTUS RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850292935",
            "telephone_number": "602-547-1860",
            "fax_number": "602-547-1861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3919 W CACTUS RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850292935",
            "telephone_number": "602-547-1860",
            "fax_number": "602-547-1861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORACLE INDUSTRIES I LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-03",
        "last_updated": "2008-01-31",
        "status": "A",
        "authorized_official_last_name": "GILBERTSON",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "602-547-1860",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gilbertsons Chiropractic Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2008; 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.