Individual provider Active NPI

Nathan Jacob Gomez, DC

  • Chiropractor
  • Tucson, AZ
National Provider Identifier
1710526421
Registry record updated Dec 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
8874 Issued in AZ
Practice address
8340 E Vicksburg St
Tucson, AZ 85710-2948
Phone
(520) 256-1254
NPI assigned
Dec 27, 2019
Last updated
Dec 27, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
I20200701001244 AZ Practitioner - Chiropractic 2365865839 Reassigns benefits to 1 organization

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
Bab Chiropractic PCGroup PAC ID 3971676164, 2 clinicians

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

LicenseStateTypeSpecialty
8874AZMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Bab Chiropractic, P.C. CurrentSince Feb 10, 2020 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.

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.

Verify at the official NPI Registry.