NPIMap

Organization Active NPI

Gambino Family Chiropractic

  • Chiropractor
  • Clarksburg, WV
National Provider Identifier
1386771335
Registry record updated Nov 30, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
WV-741 Issued in WV
Legal business name
GAMBINO FAMILY CHIROPRACTIC
Practice address
217 N 27TH St
Clarksburg, WV 26301-2310
Phone
(304) 623-7800
Fax
(304) 623-0706
NPI assigned
Feb 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2007

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

Authorized official

Name
Daniel Gambino, D C
Title
Executive Director
Phone
(304) 623-7800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X WV-741 WV Primary

Addresses

Primary practice location

217 N 27TH St
Clarksburg, WV 26301-2310

Mailing address

217 N 27TH St
Clarksburg, WV 26301-2310
Phone (304) 623-7800

National Provider Directory

National Provider Directory

Locations

217 N 27th St
Clarksburg, WV 26301
Phone (304) 623-7800

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": "1172534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196380800000",
    "number": "1386771335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 N 27TH ST",
            "city": "CLARKSBURG",
            "state": "WV",
            "postal_code": "263012310",
            "telephone_number": "304-623-7800",
            "fax_number": "304-623-0706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 N 27TH ST",
            "city": "CLARKSBURG",
            "state": "WV",
            "postal_code": "263012310",
            "telephone_number": "304-623-7800",
            "fax_number": "304-623-0706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GAMBINO FAMILY CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-27",
        "last_updated": "2007-11-30",
        "status": "A",
        "authorized_official_last_name": "GAMBINO",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "304-623-7800",
        "authorized_official_credential": "D C"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WV",
            "license": "WV-741",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarksburg, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2007; 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.