Active NPI
Sea Level Chiropractic
- Chiropractor
- Gilbert, AZ
National Provider Identifier
1386830412
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- 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, 2007
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.