Individual provider Active NPI

Diana B Gailes, DC

  • Chiropractor
  • Greenwich, CT
National Provider Identifier
1750406559
Registry record updated Jul 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
001928 Issued in CT
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, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
DCP00461OtherRIRI LICENSE
001928OtherCTCT LICENSE

Other names 1

  • Diana Gailes Other name

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

LicenseStateTypeSpecialty
001928CTMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Indian Harbor Chiropractic Chiropractor CurrentSince Jul 21, 2024 Accepting new patients
Indian Harbor Chiropractic Associates LLC Chiropractor CurrentSince Jul 21, 2024 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.

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.

Verify at the official NPI Registry.