Gateway Chiropractic LLC

Primary specialty

Point of ServiceTaxonomy code 305S00000X

License

10734 Issued in TX

Legal business name

GATEWAY CHIROPRACTIC LLC

Practice address

3250 Hulen St Ste 140
Fort Worth, TX 76107-8101

Phone

(817) 886-7545

Fax

(817) 886-0090

NPI assigned

Feb 7, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Aaron Lee Wall, D.C.NPI 1013105550

Title

Doctor of Chiropractic

Phone

(817) 886-7545

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Aaron Lee Wall, D.C.

  • Chiropractor
  • Fort Worth, TX
  • NPI 1013105550
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1297036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297036800000",
    "number": "1679879779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3250 HULEN ST STE 140",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761078101",
            "telephone_number": "817-886-7545",
            "fax_number": "817-886-0090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3250 HULEN ST STE 140",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761078101",
            "telephone_number": "817-886-7545",
            "fax_number": "817-886-0090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GATEWAY CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-07",
        "last_updated": "2011-02-07",
        "status": "A",
        "authorized_official_last_name": "WALL",
        "authorized_official_first_name": "AARON",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "DOCTOR OF CHIROPRACTIC",
        "authorized_official_telephone_number": "817-886-7545",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "TX",
            "license": "10734",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gastroenterology Associates of North Texas, LLP
• Gates Counseling PLLC
• Rebecca Christine Gates, LPC, LMSW
• Ryan William Gates
• Thomas Gerald Gates, MD
• Donicha Barbara Gatewood, LVN
• Madison Gatewood
• Michele Gaudette, RN,IBCLC
• Elsie Ann Gaudreault, LPC
• Madeleine Gault

• Point of Service in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Point of Service in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 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.

Verify at the official NPI Registry.