Adrian Steven Gaviglio, DOCTOR OF CHIROPRACT

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2301002858 Issued in MI

Practice address

3801 Elizabeth LK Rd
Waterford, MI 48328-3017

Phone

(248) 681-7655

Fax

(248) 681-4088

NPI assigned

Nov 13, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

• Adrian S Gaviglio DC PC

  dba Waterford Life Chiropractic Clinic

  • Chiropractor
  • Waterford, MI
  • NPI 1114187242
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1619049145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3801 ELIZABETH LK RD",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483283017",
            "telephone_number": "248-681-7655",
            "fax_number": "248-681-4088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 ELIZABETH LK RD",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483283017",
            "telephone_number": "248-681-7655",
            "fax_number": "248-681-4088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAVIGLIO",
        "first_name": "ADRIAN",
        "middle_name": "STEVEN",
        "name_prefix": "Dr.",
        "credential": "DOCTOR OF CHIROPRACT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301002858",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2098168",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Waterford, MI
• Providers in Waterford, MI by specialty
• Chiropractor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.