Organization Active NPI

Gana Specific Chiropractic PLLC

  • Chiropractor
  • Austin, TX
National Provider Identifier
1821320672
Registry record updated Jun 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
GANA SPECIFIC CHIROPRACTIC PLLC
Practice address
1825 Fortview Rd Ste 104
Austin, TX 78704-7600
Phone
(512) 829-1549
NPI assigned
Feb 4, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2020

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

Authorized official

Name
Dr. Russell Matthew Gana, D.C.NPI 1063743557
Title
Chiropractor
Phone
(512) 829-1549

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

1825 Fortview Rd Ste 104
Austin, TX 78704-7600

Mailing address

1825 Fortview Rd Ste 104
Austin, TX 78704-7600
Phone (512) 829-1549

National Provider Directory

National Provider Directory

Locations

1825 Fortview Rd
Ste 104
Austin, TX 78704
Phone (512) 829-1549

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1265241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591574400000",
    "number": "1821320672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1825 FORTVIEW RD STE 104",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787047600",
            "telephone_number": "512-829-1549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1825 FORTVIEW RD STE 104",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787047600",
            "telephone_number": "512-829-1549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GANA SPECIFIC CHIROPRACTIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-04",
        "last_updated": "2020-06-08",
        "certification_date": "2020-06-08",
        "status": "A",
        "authorized_official_last_name": "GANA",
        "authorized_official_first_name": "RUSSELL",
        "authorized_official_middle_name": "MATTHEW",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "512-829-1549",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2020; 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.