NPIMap

Organization Active NPI

Gault Wellness

  • Chiropractor
  • Harrisburg, PA
National Provider Identifier
1750608667
Registry record updated May 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC002510L Issued in PA
Legal business name
GAULT WELLNESS
Practice address
2209 Forest Hills Dr
Suite 22
Harrisburg, PA 17112-1095
Phone
(717) 657-1620
Fax
(717) 540-1540
NPI assigned
May 2, 2010
Last updated
May 2, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2010

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

Authorized official

Name
Dr. Thomas Dale Gault, D.C.NPI 1104011196
Title
Owner
Phone
(717) 657-1620

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC002510L PA Primary

Addresses

Primary practice location

2209 Forest Hills Dr
Suite 22
Harrisburg, PA 17112-1095

Mailing address

2209 Forest Hills Dr
Suite 22
Harrisburg, PA 17112-1095
Phone (717) 657-1620

National Provider Directory

National Provider Directory

Locations

2209 Forest Hills Dr
Ste 22
Harrisburg, PA 17112
Phone (717) 657-1620

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1272758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272758400000",
    "number": "1750608667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2209 FOREST HILLS DR",
            "address_2": "SUITE 22",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171121095",
            "telephone_number": "717-657-1620",
            "fax_number": "717-540-1540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2209 FOREST HILLS DR",
            "address_2": "SUITE 22",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171121095",
            "telephone_number": "717-657-1620",
            "fax_number": "717-540-1540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GAULT WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-02",
        "last_updated": "2010-05-02",
        "status": "A",
        "authorized_official_last_name": "GAULT",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "DALE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "717-657-1620",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC002510L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrisburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2010; 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.