NPIMap

Organization Active NPI

Abcg, LLC

Doing business as Summer Ave Chiropractic clinic

  • Chiropractor
  • Memphis, TN
National Provider Identifier
1831307487
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC0000000782 Issued in TN
Legal business name
ABCG, LLC
Doing business as
Summer Ave Chiropractic clinic
Practice address
4239 Summer Ave
Memphis, TN 38122-4046
Phone
(901) 763-2225
Fax
(901) 682-4569
NPI assigned
May 18, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Craig Gangwish, D.C.NPI 1316019441
Title
Owner
Phone
(901) 763-2225

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 DC0000000782 TN Primary

Addresses

Primary practice location

4239 Summer Ave
Memphis, TN 38122-4046

Mailing address

4239 Summer Ave
Memphis, TN 38122-4046
Phone (901) 763-2225

Other names 1

  • Summer Ave Chiropractic clinic Doing business as

National Provider Directory

National Provider Directory

Locations

4239 Summer Ave
Memphis, TN 38122
Phone (901) 763-2225

Practitioners & affiliated clinicians

Practitioners 5

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": "1179446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1831307487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4239 SUMMER AVE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381224046",
            "telephone_number": "901-763-2225",
            "fax_number": "901-682-4569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4239 SUMMER AVE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381224046",
            "telephone_number": "901-763-2225",
            "fax_number": "901-682-4569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABCG, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GANGWISH",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "901-763-2225",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TN",
            "license": "DC0000000782",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Summer Ave Chiropractic clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Memphis, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.