Individual provider Active NPI

Gina Annalene De Wet, DC

  • Chiropractor
  • Napa, CA
National Provider Identifier
1730262155
Registry record updated Sep 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC29219 Issued in CA
Practice address
3436 Valle Verde Dr
Napa, CA 94558-2415
Phone
(707) 224-2884
Fax
(707) 224-0884
NPI assigned
Oct 21, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 19, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC29219 CA Primary

Addresses

Primary practice location

3436 Valle Verde Dr
Napa, CA 94558-2415

Mailing address

3436 Valle Verde Dr
Napa, CA 94558-2415
Phone (707) 224-2884

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050222000984 CA Practitioner - Chiropractic 0648223362

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - West Sunnyvale, 2003
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3436 Valle Verde Dr
Napa, CA 94558-2415

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC29219CAMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1161388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221782400000",
    "number": "1730262155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3436 VALLE VERDE DR",
            "city": "NAPA",
            "state": "CA",
            "postal_code": "945582415",
            "telephone_number": "707-224-2884",
            "fax_number": "707-224-0884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3436 VALLE VERDE DR",
            "city": "NAPA",
            "state": "CA",
            "postal_code": "945582415",
            "telephone_number": "707-224-2884",
            "fax_number": "707-224-0884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE WET",
        "first_name": "GINA",
        "middle_name": "ANNALENE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-21",
        "last_updated": "2008-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC29219",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Napa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2008; 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.