Organization Active NPI

Sea Level Chiropractic

  • Chiropractor
  • Gilbert, AZ
National Provider Identifier
1386830412
Registry record updated Sep 21, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
SEA LEVEL CHIROPRACTIC
Practice address
1652 N Higley Rd Ste 107
Gilbert, AZ 85234-1605
Phone
(480) 760-3343
Fax
(480) 626-5944
NPI assigned
Sep 21, 2007
Last updated
Sep 21, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2007

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

Authorized official

Name
Dr. Gary Wagoner, DC
Title
Owner / Chiropractor
Phone
(480) 760-3343

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X NU Primary

Addresses

Primary practice location

1652 N Higley Rd Ste 107
Gilbert, AZ 85234-1605

Mailing address

1652 N Higley Rd Ste 107
Gilbert, AZ 85234-1605
Phone (480) 760-3343

National Provider Directory

National Provider Directory

Locations

1652 N Higley Rd
Ste 107
Gilbert, AZ 85234
Phone (480) 760-3343

NPI Registry JSON

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

{
    "created_epoch": "1190332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190332800000",
    "number": "1386830412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1652 N HIGLEY RD STE 107",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852341605",
            "telephone_number": "480-760-3343",
            "fax_number": "480-626-5944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1652 N HIGLEY RD STE 107",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852341605",
            "telephone_number": "480-760-3343",
            "fax_number": "480-626-5944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEA LEVEL CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-21",
        "last_updated": "2007-09-21",
        "status": "A",
        "authorized_official_last_name": "WAGONER",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "OWNER / CHIROPRACTOR",
        "authorized_official_telephone_number": "480-760-3343",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 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.