Organization Active NPI

Gudavalli Chiropractic, LTD

  • Chiropractor
  • Naperville, IL
National Provider Identifier
1942429436
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
GUDAVALLI CHIROPRACTIC, LTD
Practice address
2603 S Washington St
Suite 140
Naperville, IL 60565-6370
Phone
(630) 355-1303
NPI assigned
Apr 24, 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. Sharina Gudavalli
Title
President
Phone
(630) 355-1303

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X IL Primary

Addresses

Primary practice location

2603 S Washington St
Suite 140
Naperville, IL 60565-6370

Mailing address

2603 S. Washington St
Suite 140
Naperville, IL 60565
Phone (630) 355-1303

National Provider Directory

National Provider Directory

Locations

2603 S Washington St
Ste 140
Naperville, IL 60565
Phone (630) 357-8441

NPI Registry JSON

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1942429436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2603 S. WASHINGTON ST",
            "address_2": "SUITE 140",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "60565",
            "telephone_number": "630-355-1303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2603 S WASHINGTON ST",
            "address_2": "SUITE 140",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605656370",
            "telephone_number": "630-355-1303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUDAVALLI CHIROPRACTIC, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GUDAVALLI",
        "authorized_official_first_name": "SHARINA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-355-1303",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naperville, IL

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.