Active NPI
Travis Wayne Gerhart, D.C.
- Chiropractor
- Minnetonka, MN
National Provider Identifier
1053509638
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 5020
- Practice address
- 14001 Ridgedale Dr Ste 390
Minnetonka, MN 55305 - Phone
- (952) 893-8900
- NPI assigned
- Oct 9, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 4026 | OR | |
| Chiropractor | 111N00000X | 5020 | MN | Primary |
Addresses
Primary practice location
14001 Ridgedale Dr Ste 390
Minnetonka, MN 55305
Mailing address
4934 Crestview Rd
Mound, MN 55364-1202
Phone (971) 258-8750
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5020 | MN | MD | Clinical Social Worker |
| 4026 | OR | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1191888000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1533168000000",
"number": "1053509638",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4934 CRESTVIEW RD",
"city": "MOUND",
"state": "MN",
"postal_code": "553641202",
"telephone_number": "971-258-8750"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14001 RIDGEDALE DR STE 390",
"city": "MINNETONKA",
"state": "MN",
"postal_code": "55305",
"telephone_number": "952-893-8900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GERHART",
"first_name": "TRAVIS",
"middle_name": "WAYNE",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-10-09",
"last_updated": "2018-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "OR",
"license": "4026",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MN",
"license": "5020",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Minnetonka, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.