Individual provider Active NPI

Naomi Ruth Gregory, DC

  • Chiropractor
  • Wickenburg, AZ
National Provider Identifier
1629776067
Registry record updated Aug 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
9258 Issued in AZ
Practice address
130 E Yavapai St Ste 5
Wickenburg, AZ 85390-3429
Phone
(928) 588-3286
NPI assigned
Feb 15, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 3, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 9258 AZ Primary

Addresses

Primary practice location

130 E Yavapai St Ste 5
Wickenburg, AZ 85390-3429

Mailing address

863 Oleander St
Wickenburg, AZ 85390-1427
Phone (928) 588-3286

Other names 1

  • Miss Naomi Ruth Bader Former name

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

LicenseStateTypeSpecialty
9258AZMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Rooted Chiropractic and Wellness PLLC Chiropractor CurrentSince Aug 6, 2023 Accepting new patients

Locations

130 E Yavapai St
Ste 5
Wickenburg, AZ 85390
Phone (928) 588-3286

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.

NPI Registry JSON

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

{
    "created_epoch": "1676419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691020800000",
    "number": "1629776067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "863 OLEANDER ST",
            "city": "WICKENBURG",
            "state": "AZ",
            "postal_code": "853901427",
            "telephone_number": "928-588-3286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 E YAVAPAI ST STE 5",
            "city": "WICKENBURG",
            "state": "AZ",
            "postal_code": "853903429",
            "telephone_number": "928-588-3286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREGORY",
        "first_name": "NAOMI",
        "middle_name": "RUTH",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-02-15",
        "last_updated": "2023-08-03",
        "certification_date": "2023-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "9258",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NAOMI",
            "last_name": "BADER",
            "middle_name": "RUTH",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Wickenburg, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2023; 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.