Active NPI
William Peter Gagliardi, DC
- Chiropractor
- Provo, UT
National Provider Identifier
1528029782
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 10501915-1202
- Practice address
- 37 E Center St Ste 305
Provo, UT 84606-5564 - Phone
- (801) 430-9244
- Fax
- (801) 304-3388
- NPI assigned
- Mar 29, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CH60929450 | WA | |
| Chiropractor | 111N00000X | DC005874L | PA | |
| Chiropractor | 111N00000X | 10501915-1202 | UT | Primary |
Addresses
Primary practice location
37 E Center St Ste 305
Provo, UT 84606-5564
Mailing address
37 E Center St Ste 305
Provo, UT 84606-5564
Phone (801) 430-9244
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10501915-1202 | Other | UT | STATE ID |
| DC005874L | Other | PA | STATE ID |
| U65809 | Other | PA | UPIN |
| CH60929450 | Other | WA | STATE ID |
Other names 1
- Dr. Bill Gagliardi
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC005874L | PA | MD | Chiropractor |
| 10501915-1202 | UT | MD | Chiropractor |
| CH60929450 | WA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143590400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1654387200000",
"number": "1528029782",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "37 E CENTER ST STE 305",
"city": "PROVO",
"state": "UT",
"postal_code": "846065564",
"telephone_number": "801-430-9244",
"fax_number": "801-304-3388"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "37 E CENTER ST STE 305",
"city": "PROVO",
"state": "UT",
"postal_code": "846065564",
"telephone_number": "801-430-9244",
"fax_number": "801-304-3388"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAGLIARDI",
"first_name": "WILLIAM",
"middle_name": "PETER",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-03-29",
"last_updated": "2022-06-05",
"certification_date": "2022-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "WA",
"license": "CH60929450",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "PA",
"license": "DC005874L",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "UT",
"license": "10501915-1202",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE ID",
"identifier": "10501915-1202",
"state": "UT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE ID",
"identifier": "DC005874L",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UPIN",
"identifier": "U65809",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE ID",
"identifier": "CH60929450",
"state": "WA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "BILL",
"last_name": "GAGLIARDI",
"prefix": "DR.",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Provo, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 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.