Active NPI
Gretchen K Andreis, DC
- Chiropractor
- Tiburon, CA
National Provider Identifier
1780767103
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC21875
- Practice address
- 1640 Tiburon Blvd
Tiburon, CA 94920 - Phone
- (415) 435-7420
- Fax
- (415) 435-7424
- NPI assigned
- Oct 21, 2006
- Last updated
- Jul 8, 2007
- 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 | DC21875 | CA | Primary |
Addresses
Primary practice location
1640 Tiburon Blvd
Tiburon, CA 94920
Mailing address
1640 Tiburon Blvd
#6
Tiburon, CA 94920
Phone (415) 435-7420
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 |
|---|---|---|---|
| DC21875 | CA | MD | Chiropractor |
Organizations & group practices 1
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": "1161388800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1780767103",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1640 TIBURON BLVD",
"address_2": "#6",
"city": "TIBURON",
"state": "CA",
"postal_code": "94920",
"telephone_number": "415-435-7420",
"fax_number": "415-435-7424"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1640 TIBURON BLVD",
"city": "TIBURON",
"state": "CA",
"postal_code": "94920",
"telephone_number": "415-435-7420",
"fax_number": "415-435-7424"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDREIS",
"first_name": "GRETCHEN",
"middle_name": "K",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "DC21875",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tiburon, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.