Individual provider Active NPI

Justin Gomez, DC

  • Chiropractor
  • Chandler, AZ
National Provider Identifier
1689839672
Registry record updated Oct 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
7951 Issued in AZ
Practice address
1949 W Ray Rd Ste 23
Chandler, AZ 85224-4008
Phone
(480) 917-1720
NPI assigned
Jul 19, 2008
Last updated
Oct 23, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 23, 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 7951 AZ Primary

Addresses

Primary practice location

1949 W Ray Rd Ste 23
Chandler, AZ 85224-4008

Mailing address

PO Box 6610
Chandler, AZ 85246-6610
Phone (480) 926-7800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090806000056 AZ Practitioner - Chiropractic 3678626884 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ray Road Medical Group LLCGroup PAC ID 5890045975, 4 clinicians

Practice addresses (Care Compare)

1949 W Ray Rd
Suite 23
Chandler, AZ 85224-4008
Phone (480) 917-1720

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7951AZMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Backfit Chiropractic & Rehabilitation PC Current Accepting new patients
Chandler Medical PLLC Chiropractor Current Accepting new patients
Ray Road Medical Group LLC Chiropractor CurrentSince May 10, 2018 Accepting new patients
Dobson Road Medical Group, LLC Chiropractor Past Accepting new patients

Locations

1949 W Ray Rd
Ste 14
Chandler, AZ 85224
Phone (480) 917-1720

1949 W Ray Rd
Ste 23
Chandler, AZ 85224
Phone (480) 307-8258

1450 W Guadalupe Rd
Ste 120
Gilbert, AZ 85233
Phone 4809267800106

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1216425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698019200000",
    "number": "1689839672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6610",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852466610",
            "telephone_number": "480-926-7800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1949 W RAY RD STE 23",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852244008",
            "telephone_number": "480-917-1720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOMEZ",
        "first_name": "JUSTIN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-07-19",
        "last_updated": "2023-10-23",
        "certification_date": "2023-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "7951",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.