Individual provider Active NPI

Gary Arland Collins, D.C.

  • Chiropractor
  • Peoria, AZ
National Provider Identifier
1669438099
Registry record updated May 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4194 Issued in AZ
Practice address
6750 W Peoria Ave
Ste 119
Peoria, AZ 85345-9316
Phone
(623) 486-8223
Fax
(623) 486-7666
NPI assigned
Apr 25, 2006
Last updated
May 17, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 17, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4194 AZ Primary

Addresses

Primary practice location

6750 W Peoria Ave
Ste 119
Peoria, AZ 85345-9316

Mailing address

7043 W Corrine Dr
Peoria, AZ 85381-5333
Phone (623) 878-8019

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)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1145923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337212800000",
    "number": "1669438099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7043 W CORRINE DR",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853815333",
            "telephone_number": "623-878-8019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6750 W PEORIA AVE",
            "address_2": "STE 119",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853459316",
            "telephone_number": "623-486-8223",
            "fax_number": "623-486-7666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLINS",
        "first_name": "GARY",
        "middle_name": "ARLAND",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-25",
        "last_updated": "2012-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "4194",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peoria, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 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.

Verify at the official NPI Registry.