Active NPI
Elva Mary Gamino -Charette, D.C.
- Chiropractor
- Glendale, AZ
National Provider Identifier
1376579672
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 4512
- Practice address
- 4231 W Yorkshire Dr
Glendale, AZ 85308-7556 - Phone
- (623) 581-5980
- Fax
- (623) 581-6009
- NPI assigned
- Jun 25, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 4512 | AZ | Primary |
Addresses
Primary practice location
4231 W Yorkshire Dr
Glendale, AZ 85308-7556
Mailing address
4231 W Yorkshire Dr
Glendale, AZ 85308-7556
Phone (623) 581-5980
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20051005000200 | AZ | Practitioner - Chiropractic | 9739114133 | Practice locations: Glendale, AZ |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
4231 W Yorkshire Dr
Glendale, AZ 85308-7556
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4512 | AZ | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151193600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1344470400000",
"number": "1376579672",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4231 W YORKSHIRE DR",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853087556",
"telephone_number": "623-581-5980",
"fax_number": "623-581-6009"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4231 W YORKSHIRE DR",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853087556",
"telephone_number": "623-581-5980",
"fax_number": "623-581-6009"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAMINO -CHARETTE",
"first_name": "ELVA",
"middle_name": "MARY",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-06-25",
"last_updated": "2012-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "AZ",
"license": "4512",
"primary": true
}
],
"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 Aug 9, 2012; 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.