Organization Active NPI

Triad of Health, LLC

  • Chiropractor
  • Gilbert, AZ
National Provider Identifier
1952922668
Registry record updated May 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
TRIAD OF HEALTH, LLC
Practice address
323 S Gilbert Rd Ste 119
Gilbert, AZ 85296-1608
Phone
(480) 219-6354
NPI assigned
May 4, 2020
Last updated
May 4, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2020

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

Authorized official

Name
Dr. Daniel Chase Graham, DCNPI 1316919822
Title
Owner
Phone
(480) 219-6354

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 NU Primary

Addresses

Primary practice location

323 S Gilbert Rd Ste 119
Gilbert, AZ 85296-1608

Mailing address

323 S Gilbert Rd Ste 119
Gilbert, AZ 85296-1608
Phone (480) 219-6354

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200728001174 AZ Part B Supplier - Clinic/Group Practice 3971927617 Receives reassigned benefits from 1 practitioner
Practice locations: Gilbert, AZ

National Provider Directory

National Provider Directory

Locations

323 S Gilbert Rd
Ste 119
Gilbert, AZ 85296
Phone (480) 219-6354

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/21372/brand/1/csg/1/fhir/r4

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": "1588550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588550400000",
    "number": "1952922668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "323 S GILBERT RD STE 119",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852961608",
            "telephone_number": "480-219-6354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "323 S GILBERT RD STE 119",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852961608",
            "telephone_number": "480-219-6354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRIAD OF HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-04",
        "last_updated": "2020-05-04",
        "certification_date": "2020-05-04",
        "status": "A",
        "authorized_official_last_name": "GRAHAM",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "CHASE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-219-6354",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "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 4, 2020; 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.