Active NPI
Nathan Jacob Gomez, DC
- Chiropractor
- Tucson, AZ
National Provider Identifier
1710526421
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 8874
- Practice address
- 8340 E Vicksburg St
Tucson, AZ 85710-2948 - Phone
- (520) 256-1254
- NPI assigned
- Dec 27, 2019
- Last updated
- Dec 27, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 8874 | AZ | Primary |
Addresses
Primary practice location
8340 E Vicksburg St
Tucson, AZ 85710-2948
Mailing address
8140 S Houghton Rd
Tucson, AZ 85747-4705
Phone (520) 574-3600
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Los Angeles College of Chiropractic, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
8140 S Houghton Rd
Suite 130
Tucson, AZ 85747-4708
Phone (520) 574-3600
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8874 | AZ | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bab Chiropractic, P.C. | Current | Accepting new patients | |
| Marana Chiropractic PLLC | Chiropractor | Current | Accepting new patients |
Locations
8140 S Houghton Rd
Ste 130
Tucson, AZ 85747
Phone (520) 574-3600
Organizations & group practices 2
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.
-
dba Staggs Chiropractic
- Health Service Clinic/Center
- Tucson, AZ
- NPI 1235392671
-
- Chiropractor
- Marana, AZ
- NPI 1699480210
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1577404800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1577404800000",
"number": "1710526421",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8140 S HOUGHTON RD",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857474705",
"telephone_number": "520-574-3600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8340 E VICKSBURG ST",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857102948",
"telephone_number": "520-256-1254"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOMEZ",
"first_name": "NATHAN",
"middle_name": "JACOB",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-12-27",
"last_updated": "2019-12-27",
"certification_date": "2019-12-27",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "AZ",
"license": "8874",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tucson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2019; 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.