Organization Active NPI

Springbok Chiropractic

  • Chiropractor
  • Gilbert, AZ
National Provider Identifier
1821268251
Registry record updated May 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
7154 Issued in AZ
Legal business name
SPRINGBOK CHIROPRACTIC
Practice address
1400 N Gilbert Rd Ste M
Gilbert, AZ 85234-2482
Phone
(480) 558-0474
NPI assigned
Feb 29, 2008
Last updated
May 15, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2008

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

Authorized official

Name
Clifford B. Gibb, DCNPI 1376548198
Title
President
Phone
(480) 558-0474

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 7154 AZ Primary

Addresses

Primary practice location

1400 N Gilbert Rd Ste M
Gilbert, AZ 85234-2482

Mailing address

1400 N Gilbert Rd Ste M
Gilbert, AZ 85234-2482
Phone (480) 558-0474

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040202000308 AZ Part B Supplier - Clinic/Group Practice 3173426566 Receives reassigned benefits from 1 practitioner
Practice locations: Gilbert, AZ

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1204243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210809600000",
    "number": "1821268251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 N GILBERT RD STE M",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852342482",
            "telephone_number": "480-558-0474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 N GILBERT RD STE M",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852342482",
            "telephone_number": "480-558-0474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPRINGBOK CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-29",
        "last_updated": "2008-05-15",
        "status": "A",
        "authorized_official_last_name": "GIBB",
        "authorized_official_first_name": "CLIFFORD",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "480-558-0474",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "7154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.