Organization Active NPI

Indian Harbor Chiropractic

  • Chiropractor
  • Greenwich, CT
National Provider Identifier
1700296894
Registry record updated Sep 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
INDIAN HARBOR CHIROPRACTIC
Doing business as
Indian Harbor Chiropractic
Practice address
49 Lake Ave Ste 1E
Greenwich, CT 06830-4519
Phone
(203) 983-5426
Fax
(203) 622-8228
NPI assigned
Apr 29, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2025

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

Authorized official

Name
Dr. Diana B GailesNPI 1750406559
Title
Owner
Phone
(203) 273-2674

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)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

49 Lake Ave Ste 1E
Greenwich, CT 06830-4519

Mailing address

49 Lake Ave Ste 1E
Greenwich, CT 06830-4519
Phone (203) 983-5426

Other identifiers 2

IdentifierTypeStateIssuer
DCP00461OtherRIRI LICENSE
001928OtherCTCT LICENSE

Other names 1

  • Indian Harbor Chiropractic Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Indian Harbor Chiropractic2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1398729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756771200000",
    "number": "1700296894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49 LAKE AVE STE 1E",
            "city": "GREENWICH",
            "state": "CT",
            "postal_code": "068304519",
            "telephone_number": "203-983-5426",
            "fax_number": "203-622-8228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49 LAKE AVE STE 1E",
            "city": "GREENWICH",
            "state": "CT",
            "postal_code": "068304519",
            "telephone_number": "203-983-5426",
            "fax_number": "203-622-8228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDIAN HARBOR CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-29",
        "last_updated": "2025-09-02",
        "certification_date": "2024-07-18",
        "status": "A",
        "authorized_official_last_name": "GAILES",
        "authorized_official_first_name": "DIANA",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-273-2674",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RI LICENSE",
            "identifier": "DCP00461",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CT LICENSE",
            "identifier": "001928",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Indian Harbor Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Greenwich, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2025; 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.