Organization Active NPI

Gifford Chiropractic & Neurodiagnostic Center, PA

  • Neurology Chiropractor
  • Naples, FL
National Provider Identifier
1437459559
Registry record updated Oct 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology ChiropractorTaxonomy code 111NN0400X
License
CH6154 Issued in ZZ
Legal business name
GIFFORD CHIROPRACTIC & NEURODIAGNOSTIC CENTER, PA
Practice address
4930 Golden Gate Pkwy.
Naples, FL 34116
Phone
(239) 455-3822
Fax
(239) 455-0891
NPI assigned
Oct 22, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2010

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

Authorized official

Name
Dr. Bruce A Gifford
Title
President & Ceo
Phone
(239) 455-3822

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NN0400X CH6154 ZZ Primary

Addresses

Primary practice location

4930 Golden Gate Pkwy.
Naples, FL 34116

Mailing address

4930 Golden Gate Pkwy.
Naples, FL 34116
Phone (239) 455-3822

Other identifiers 1

IdentifierTypeStateIssuer
3804526-00MedicaidFL

National Provider Directory

National Provider Directory

Locations

4930 Golden Gate Pkwy
Naples, FL 34116
Phone (239) 455-3822

NPI Registry JSON

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

{
    "created_epoch": "1287705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287705600000",
    "number": "1437459559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4930 GOLDEN GATE PKWY.",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "34116",
            "telephone_number": "239-455-3822",
            "fax_number": "239-455-0891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4930 GOLDEN GATE PKWY.",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "34116",
            "telephone_number": "239-455-3822",
            "fax_number": "239-455-0891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GIFFORD CHIROPRACTIC & NEURODIAGNOSTIC CENTER, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-22",
        "last_updated": "2010-10-22",
        "status": "A",
        "authorized_official_last_name": "GIFFORD",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "239-455-3822",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "111NN0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Neurology",
            "state": "ZZ",
            "license": "CH6154",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3804526-00",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2010; 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.