Individual provider Active NPI

Andrew M Gorby, DC

  • Orthopedic Chiropractor
  • Glendale, AZ
National Provider Identifier
1215933783
Registry record updated Oct 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic ChiropractorTaxonomy code 111NX0800X
License
3837 Issued in AZ
Practice address
6550 W Glendale Ave
Ste 2
Glendale, AZ 85301-2381
Phone
(623) 931-9317
Fax
(623) 931-9291
NPI assigned
Jun 21, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 22, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Chiropractor 111NX0800X 3837 AZ Primary
Orthopedic Chiropractor 111NX0800X 423 ND

Addresses

Primary practice location

6550 W Glendale Ave
Ste 2
Glendale, AZ 85301-2381

Mailing address

6550 W Glendale Ave
Ste 2
Glendale, AZ 85301-2381
Phone (623) 931-9317

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
3837AZMDOrthopedic Chiropractor
423NDMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1119312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287705600000",
    "number": "1215933783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6550 W GLENDALE AVE",
            "address_2": "STE 2",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853012381",
            "telephone_number": "623-931-9317",
            "fax_number": "623-931-9291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6550 W GLENDALE AVE",
            "address_2": "STE 2",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853012381",
            "telephone_number": "623-931-9317",
            "fax_number": "623-931-9291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORBY",
        "first_name": "ANDREW",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-21",
        "last_updated": "2010-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NX0800X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Orthopedic",
            "state": "AZ",
            "license": "3837",
            "primary": true
        },
        {
            "code": "111NX0800X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Orthopedic",
            "state": "ND",
            "license": "423",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2010; 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.