Active NPI
Okane San, P.C.
- Sports Physician Chiropractor
- Gilbert, AZ
National Provider Identifier
1609070028
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Physician Chiropractor
- License
- 2034
- Legal business name
- OKANE SAN, P.C.
- Practice address
- 7 E Palo Verde St Ste 11
Gilbert, AZ 85296-1021 - Phone
- (480) 686-9942
- Fax
- (480) 686-9943
- NPI assigned
- Jun 11, 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. David J. Ricks, D.C.
- Title
- President
- Phone
- (480) 545-0062
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Physician Chiropractor | 111NS0005X | 2034 | AZ | Primary |
Addresses
Primary practice location
7 E Palo Verde St Ste 11
Gilbert, AZ 85296-1021
Mailing address
PO Box 1686
Gilbert, AZ 85299-1686
Phone (480) 686-9942
National Provider Directory
National Provider DirectoryLocations
7 E Palo Verde St
Gilbert, AZ 85296
Phone (480) 686-9942
7 E Palo Verde St
Ste 11
Gilbert, AZ 85296
Phone (480) 686-9942
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181520000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1340755200000",
"number": "1609070028",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1686",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852991686",
"telephone_number": "480-686-9942",
"fax_number": "480-686-9943"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7 E PALO VERDE ST STE 11",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852961021",
"telephone_number": "480-686-9942",
"fax_number": "480-686-9943"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OKANE SAN, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2007-06-11",
"last_updated": "2012-06-27",
"status": "A",
"authorized_official_last_name": "RICKS",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "J.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "480-545-0062",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111NS0005X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor, Sports Physician",
"state": "AZ",
"license": "2034",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gilbert, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.