Active NPI
Sports and Family Chiropractic
- Sports Physician Chiropractor
- Anaheim, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Physician Chiropractor
- Legal business name
- SPORTS AND FAMILY CHIROPRACTIC
- Practice address
- 1842 W Lincoln Ave
Suite F
Anaheim, CA 92801-5426 - Phone
- (714) 956-2225
- Fax
- (714) 956-5350
- NPI assigned
- Feb 19, 2007
- 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. Gary Bradford Wright, D.C.
- Title
- Ceo President
- Phone
- (714) 956-2225
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Physician Chiropractor | 111NS0005X | CA | Primary |
Addresses
Primary practice location
1842 W Lincoln Ave
Suite F
Anaheim, CA 92801-5426
Mailing address
1842 W Lincoln Ave
Suite F
Anaheim, CA 92801-5426
Phone (714) 956-2225
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DC0230590 | Medicaid | CA | |
| DC0230590 | Other | CA | SERVICE LINE PIN |
| DC023059 | Other | CA | STATE LICENSE |
National Provider Directory
National Provider Directory- Tax ID family
- Gary B Wright Chiropractic Corporation
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Clinic/Center
- Anaheim, CA
- NPI 1407015696
Locations
1842 W Lincoln Ave
Ste F
Anaheim, CA 92801
Phone (714) 956-2225
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Sports Physician Chiropractor
- Anaheim, CA
- NPI 1073644811
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171843200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1508900838",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1842 W LINCOLN AVE",
"address_2": "SUITE F",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928015426",
"telephone_number": "714-956-2225",
"fax_number": "714-956-5350"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1842 W LINCOLN AVE",
"address_2": "SUITE F",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928015426",
"telephone_number": "714-956-2225",
"fax_number": "714-956-5350"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SPORTS AND FAMILY CHIROPRACTIC",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-19",
"last_updated": "2022-07-21",
"status": "A",
"authorized_official_last_name": "WRIGHT",
"authorized_official_first_name": "GARY",
"authorized_official_middle_name": "BRADFORD",
"authorized_official_title_or_position": "CEO PRESIDENT",
"authorized_official_telephone_number": "714-956-2225",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111NS0005X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Chiropractor, Sports Physician",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "DC0230590",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SERVICE LINE PIN",
"identifier": "DC0230590",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "DC023059",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Anaheim, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.