Erica M Gaitley DC PA LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4429 Issued in OH

Legal business name

ERICA M GAITLEY DC PA LLC

Practice address

14100 Cedar Rd.
Suite 100
University Heights, OH 44121

Phone

(216) 297-9810

NPI assigned

Mar 27, 2014

Organization subpart

No

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

Authorized official

Name

Erica M Gaitley, D.C.

Title

Sole LLC Owner

Phone

(313) 590-1919

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1395878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395878400000",
    "number": "1437576428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14100 CEDAR RD.",
            "address_2": "SUITE 100",
            "city": "UNIVERSITY HEIGHTS",
            "state": "OH",
            "postal_code": "44121",
            "telephone_number": "216-297-9810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14100 CEDAR RD.",
            "address_2": "SUITE 100",
            "city": "UNIVERSITY HEIGHTS",
            "state": "OH",
            "postal_code": "44121",
            "telephone_number": "216-297-9810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERICA M GAITLEY DC PA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-27",
        "last_updated": "2014-03-27",
        "status": "A",
        "authorized_official_last_name": "GAITLEY",
        "authorized_official_first_name": "ERICA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "SOLE LLC OWNER",
        "authorized_official_telephone_number": "313-590-1919",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "4429",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2014; 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.