Individual provider Active NPI

Jared Douglas Gailes, D.C.

  • Chiropractor
  • Norwood, MA
National Provider Identifier
1588674394
Registry record updated Mar 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2681 Issued in MA
Practice address
661 Washington St Ste 206
Norwood, MA 02062-3529
Phone
(781) 352-8146
Fax
(781) 352-8147
NPI assigned
Aug 8, 2006
Sex
Male
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College - West, 2001
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

661 Washington St
Suite 206
Norwood, MA 02062-3529
Phone (781) 352-8146

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090304000710 MA Practitioner - Chiropractic 4688730393 Practice locations: Norwood, MA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2681MAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Gailes Chiropractic Inc. PastSince Mar 9, 2009 Accepting new patients

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2681 MA Primary
Chiropractor 111N00000X DCP00462 RI

Addresses

NPPES NPI Registry

Primary practice location

661 Washington St Ste 206
Norwood, MA 02062-3529

Mailing address

661 Washington St Ste 206
Norwood, MA 02062-3529
Phone (781) 352-8146

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 12, 2020.

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583971200000",
    "number": "1588674394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "661 WASHINGTON ST STE 206",
            "city": "NORWOOD",
            "state": "MA",
            "postal_code": "020623529",
            "telephone_number": "781-352-8146",
            "fax_number": "781-352-8147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "661 WASHINGTON ST STE 206",
            "city": "NORWOOD",
            "state": "MA",
            "postal_code": "020623529",
            "telephone_number": "781-352-8146",
            "fax_number": "781-352-8147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAILES",
        "first_name": "JARED",
        "middle_name": "DOUGLAS",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-08",
        "last_updated": "2020-03-12",
        "certification_date": "2020-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MA",
            "license": "2681",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "RI",
            "license": "DCP00462",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwood, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.