Active NPI
Gary Warren D.C. LTD
- Chiropractor
- Reno, NV
National Provider Identifier
1669761797
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- B00508
- Legal business name
- GARY WARREN D.C. LTD
- Practice address
- 3045 Lakeside Dr
Reno, NV 89509-4502 - Phone
- (775) 828-3456
- Fax
- (775) 828-5433
- NPI assigned
- Mar 29, 2011
- 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
- Mr. Gary Lynn Warren, D.C.
- Title
- Chiropractor
- Phone
- (775) 828-3456
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | B00508 | NV | Primary |
Addresses
Primary practice location
3045 Lakeside Dr
Reno, NV 89509-4502
Mailing address
3045 Lakeside Dr
Reno, NV 89509-4502
Phone (775) 828-3456
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| VDC508A | Other | NV | MEDICARE PTAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Reno, NV
- NPI 1073664272
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1301356800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1301356800000",
"number": "1669761797",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3045 LAKESIDE DR",
"city": "RENO",
"state": "NV",
"postal_code": "895094502",
"telephone_number": "775-828-3456",
"fax_number": "775-828-5433"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3045 LAKESIDE DR",
"city": "RENO",
"state": "NV",
"postal_code": "895094502",
"telephone_number": "775-828-3456",
"fax_number": "775-828-5433"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GARY WARREN D.C. LTD",
"organizational_subpart": "NO",
"enumeration_date": "2011-03-29",
"last_updated": "2011-03-29",
"status": "A",
"authorized_official_last_name": "WARREN",
"authorized_official_first_name": "GARY",
"authorized_official_middle_name": "LYNN",
"authorized_official_title_or_position": "CHIROPRACTOR",
"authorized_official_telephone_number": "775-828-3456",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "NV",
"license": "B00508",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "VDC508A",
"state": "NV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Reno, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.