J Patrick Gantt III, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC18802 Issued in CA

Practice address

221 S Pine St
Santa Maria, CA 93458-5038

Phone

(805) 925-6665

Fax

(805) 925-6665

NPI assigned

Jan 17, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - West Sunnyvale, 1987

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1992857353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 S PINE ST",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934585038",
            "telephone_number": "805-925-6665",
            "fax_number": "805-925-6665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 S PINE ST",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934585038",
            "telephone_number": "805-925-6665",
            "fax_number": "805-925-6665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GANTT",
        "first_name": "J PATRICK",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC18802",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHIROPRACTIC NUMBER",
            "identifier": "DC18802",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jazmin Lizbeth Gallardo
• Madison Galligan-Campbell, D.O.
• Jesse Galvan
• Samantha Arianna Galvan
• Connie J Galvez, N.P.
• Lynda Maxine Gantt, PHD, MFT
• Yuwei Gao
• Porfirio Garcia Diaz
• Garcia FCC
• Maria de Jesus Garcia Garcia, MSW

• Chiropractor in Santa Maria, CA
• Providers in Santa Maria, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.