Amy Gates, DC
Individual provider Active NPI Chiropractor · Dededo, GU
NPI 1477027183 · NPPES record last updated Jan 15, 2019
Key facts
- NPI
- 1477027183
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- C-43 (GU)
- Practice address
- 562 Harmon Loop Rd Ste No129
Dededo, GU 96929-6538 - Phone
- (671) 637-8901
- Fax
- (671) 637-8906
- NPI assigned
- Jan 15, 2019
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C-43 | GU | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Adio Chiropractic Corporation | Chiropractor | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | C-43 | GU | Yes |
Addresses
Primary practice location
562 Harmon Loop Rd Ste No129
Dededo, GU 96929-6538
Mailing address
562 Harmon Loop Rd Ste No129
Dededo, GU 96929-6538
Phone (671) 637-8901
Other practice location 1
181 E Marine Corps Dr Ste 102
Hagatna, GU 96910-5178
Phone (671) 475-0005
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841489986 | Other | GU | CHIROPRACTIC |
Other providers in Dededo, GU
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 15, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.