Peter Andrew Gozdzikowski, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

B01355 Issued in NV

Practice address

3820 W Ann Rd Ste 130
North Las Vegas, NV 89031-4401

Phone

(702) 233-2626

Fax

(702) 361-2626

NPI assigned

Jan 23, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1390435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562630400000",
    "number": "1346663598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3412 CATHERINE MERMET AVE",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890816484",
            "telephone_number": "386-523-4751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3820 W ANN RD STE 130",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890314401",
            "telephone_number": "702-233-2626",
            "fax_number": "702-361-2626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOZDZIKOWSKI",
        "first_name": "PETER",
        "middle_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-01-23",
        "last_updated": "2019-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NV",
            "license": "B01355",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in North Las Vegas, NV
• Providers in North Las Vegas, NV by specialty
• Chiropractor in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2019; 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.