Provider Demographics
NPI:1386730240
Name:GRINGERI, RICHARD (DC)
Entity type:Individual
Prefix:
First Name:RICHARD
Middle Name:
Last Name:GRINGERI
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1171 HOMESTEAD RD
Mailing Address - Street 2:SUITE #160
Mailing Address - City:SANTA CLARA
Mailing Address - State:CA
Mailing Address - Zip Code:95050-5478
Mailing Address - Country:US
Mailing Address - Phone:408-984-7444
Mailing Address - Fax:408-984-5437
Practice Address - Street 1:1171 HOMESTEAD RD
Practice Address - Street 2:SUITE #160
Practice Address - City:SANTA CLARA
Practice Address - State:CA
Practice Address - Zip Code:95050-5478
Practice Address - Country:US
Practice Address - Phone:408-984-7444
Practice Address - Fax:408-984-5437
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-05
Last Update Date:2016-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC 18429111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CADC0184290Medicare ID - Type Unspecified