Active NPI
Gifford Chiropractic & Neurodiagnostic Center, PA
- Neurology Chiropractor
- Naples, FL
National Provider Identifier
1437459559
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Chiropractor
- License
- CH6154
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Chiropractor | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3804526-00 | Medicaid | FL |
National Provider Directory
National Provider DirectoryLocations
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.