Gomez Advanced Wellness Center, Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2993 Issued in NC

Legal business name

GOMEZ ADVANCED WELLNESS CENTER, INC

Practice address

2418 Central Ave
Charlotte, NC 28205-5311

Phone

(704) 377-0800

Fax

(704) 333-0874

NPI assigned

Oct 11, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Jose C Gomez, DC

Title

President

Phone

(704) 377-0800

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Matthew Evan Leibman, D.C.

  • Chiropractor
  • Matthews, NC
  • NPI 1326060583
  NPD (past)

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1457449464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2418 CENTRAL AVE",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282055311",
            "telephone_number": "704-377-0800",
            "fax_number": "704-333-0874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2418 CENTRAL AVE",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282055311",
            "telephone_number": "704-377-0800",
            "fax_number": "704-333-0874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOMEZ ADVANCED WELLNESS CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GOMEZ",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "704-377-0800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "2993",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89085FM",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kristi Goll
• Kathryn Leigh Gombar, PA
• Jami Gomes, LCSW
• Narina Odessa Gomes, CNA
• Thomas Antonio Holt Gomes
• Paula Andrea Gomez-Ospina, CRNA
• Ann Elisabeth Gomez
• Dane Gomez
• Elisa Gomez, PA-C
• Jose C Gomez, DC

• Chiropractor in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Chiropractor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.