Active NPI
Diana B Gailes, DC
- Chiropractor
- Greenwich, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 001928
- Practice address
- 49 Lake Ave Ste 1E
Greenwich, CT 06830-4519 - Phone
- (203) 983-5426
- Fax
- (203) 622-8228
- NPI assigned
- Mar 20, 2007
- Last updated
- Jul 10, 2024
- Sex
- Female
- 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 | 001928 | CT | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DCP00461 | Other | RI | RI LICENSE |
| 001928 | Other | CT | CT LICENSE |
Other names 1
- Diana Gailes
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001928 | CT | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Indian Harbor Chiropractic | Chiropractor | Current | Accepting new patients |
| Indian Harbor Chiropractic Associates LLC | Chiropractor | Current | Accepting new patients |
| Gailes Chiropractic Inc. | Past | Accepting new patients |
Locations
31 River Rd
Ste 100
Cos Cob, CT 06807
Phone (203) 863-2003
209 Bruce Park Ave
Greenwich, CT 06830
Phone (203) 622-8266
49 Lake Ave
Ste 1E
Greenwich, CT 06830
Phone (203) 983-5426
Organizations & group practices 3
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.
-
- Chiropractor
- Greenwich, CT
- NPI 1700296894
-
dba Indian Harbor Chiropractic
- Chiropractor
- Greenwich, CT
- NPI 1912476797
-
- Health Service Clinic/Center
- Warren, RI
- NPI 1043496003
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174348800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1720569600000",
"number": "1750406559",
"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": {
"last_name": "GAILES",
"first_name": "DIANA",
"middle_name": "B",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-20",
"last_updated": "2024-07-10",
"certification_date": "2024-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CT",
"license": "001928",
"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": [
{
"first_name": "DIANA",
"last_name": "GAILES",
"code": "5",
"type": "Other Name"
}
]
}
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 Jul 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.