Gregory K. Penniston, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3199 Issued in AZ

Practice address

6563 E 22ND St
Tucson, AZ 85710-5106

Phone

(520) 745-8101

NPI assigned

Aug 31, 2006

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

Enrolled in AZ

Enrollment records 1

Specialty

Chiropractic

Education

Other, 1980

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Lifeline Chiropractic, P.C.

  • Chiropractor
  • Tucson, AZ
  • NPI 1821108119
  Medicare reassignment NPD Authorized official
• Saguaro Physicians, LLC

  • Family Medicine Physician
  • Tucson, AZ
  • NPI 1356397921
  NPD (past)

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1356453047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6563 E. 22ND STREET",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "85710",
            "telephone_number": "520-745-8101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6563 E 22ND ST",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857105106",
            "telephone_number": "520-745-8101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENNISTON",
        "first_name": "GREGORY",
        "middle_name": "K.",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "3199",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eric Regan Penner, PH.D.
• Carrie-Anne Pennington
• David Pennington
• Kaylin Pennington, MD, MPH
• Margaret S Pennington, PHD
• Sara Ashlyn Penquite, M.D.
• Mary Pentland, LCSW
• Sophia Marie Penuela
• Peoplefirst Rehabilitation
• Peoplefirst Rehabilitation

• Chiropractor in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Chiropractor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.