100 Chiro Gilbert Az LLC
Organization Active NPI Chiropractor · Gilbert, AZ
NPI 1942060587 · NPPES record last updated Mar 20, 2024
Key facts
- NPI
- 1942060587
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- Legal business name
- 100 CHIRO GILBERT AZ LLC
- Practice address
- 1805 E Williams Field Rd Ste 101
Gilbert, AZ 85295-5324 - Phone
- (480) 409-8131
- NPI assigned
- Mar 20, 2024
- Organization subpart
- No
Authorized official
- Name
- Jason Helfrich, DC
- Title
- Owner
- Phone
- (719) 217-0895
Practitioners 3
-
Dean Earl Burchenson, D.C.
-
Tyler Helfrich, DC
-
Jason C Helfrich, D.C.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AZ
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250120000357 | AZ | Part B Supplier - Clinic/Group Practice | 9335678408 |
Receives reassigned benefits from 1 practitioner Practice locations: Gilbert, AZ |
National Provider Directory
Locations
1805 E Williams Field Rd
Ste A101
Gilbert, AZ 85295
Phone (480) 409-8131
1805 E Williams Field Rd
Ste 101
Gilbert, AZ 85295
Phone (480) 409-8131
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | Yes |
Addresses
Primary practice location
1805 E Williams Field Rd Ste 101
Gilbert, AZ 85295-5324
Mailing address
1805 E Williams Field Rd Ste 101
Gilbert, AZ 85295-5324
Phone (480) 409-8131
Other providers in Gilbert, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 20, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.