Gregory J Wiles DC PS

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH00033981 Issued in WA

Legal business name

GREGORY J WILES DC PS

Practice address

2310 Mildred St W Ste 100C
University Place, WA 98466-6052

Phone

(253) 564-2920

Fax

(253) 564-0135

NPI assigned

Dec 8, 2006

Organization subpart

No

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

Authorized official

Name

Gregory J Wiles, DCNPI 1962573238

Title

Owner

Phone

(253) 564-2920

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gregory J Wiles, DC

  • Chiropractor
  • University Place, WA
  • NPI 1962573238
  Medicare reassignment NPD Authorized official
• Trisha Bertholf, LMP

  • Massage Therapist
  • Gig Harbor, WA
  • NPI 1770623977
  NPD (past)
• Angi M Decapp, D.C.

  • Chiropractor
  • University Place, WA
  • NPI 1972677631
  NPD (past)
• Rosella J Erickson, LMT

  • Massage Therapist
  • University Place, WA
  • NPI 1275773533
  NPD (past)
• Laura Hart, LMP

  • Massage Therapist
  • University Place, WA
  • NPI 1811122658
  NPD (past)
• Darryl W Roundy, DC

  • Chiropractor
  • University Place, WA
  • NPI 1952475618
  NPD (past)

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251676800000",
    "number": "1457410086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2310 MILDRED ST W STE 100C",
            "city": "UNIVERSITY PLACE",
            "state": "WA",
            "postal_code": "984666052",
            "telephone_number": "253-564-2920",
            "fax_number": "253-564-0135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2310 MILDRED ST W STE 100C",
            "city": "UNIVERSITY PLACE",
            "state": "WA",
            "postal_code": "984666052",
            "telephone_number": "253-564-2920",
            "fax_number": "253-564-0135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREGORY J WILES DC PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-08",
        "last_updated": "2009-08-31",
        "status": "A",
        "authorized_official_last_name": "WILES",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "253-564-2920",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00033981",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Marie Gormley, RN
• Anand N Gowda, RPH
• Gravelly Lake Physical Therapy, Inc.
• Jade Graves, DPT
• Aaron Amon Greene
• Jenifer Gregory, PHD
• Daniel Paul Grey, LICSW
• Vicki Lynn Grimes, ARNP
• Robert Cecil Groetken, PMHNP
• Jeanne L. Groff, LMFT

• Chiropractor in University Place, WA
• Providers in University Place, WA by specialty
• Chiropractor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.