Active NPI
Kris Duane Gongaware, D.C.
- Chiropractor
- Gibsonia, PA
National Provider Identifier
1063555134
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC-006022
- Practice address
- 5499 William Flynn Hwy
Gibsonia, PA 15044-9675 - Phone
- (724) 316-0717
- Fax
- (724) 443-6963
- NPI assigned
- Feb 15, 2007
- Last updated
- Mar 18, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC-006022 | PA | Primary |
Addresses
Primary practice location
5499 William Flynn Hwy
Gibsonia, PA 15044-9675
Mailing address
3700 Sandy Hill Rd
Gibsonia, PA 15044-7784
Phone (724) 316-0717
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 |
|---|---|---|---|
| DC-006022 | PA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Primary Spine Care | Chiropractor | Current | Accepting new patients |
Locations
5499 William Flynn Hwy
Gibsonia, PA 15044
Phone (724) 443-7143
5499 William Flynn Hwy
Ste 4
Gibsonia, PA 15044
Phone (724) 443-8444
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Chiropractor
- Gibsonia, PA
- NPI 1487318861
-
- Chiropractor
- Bellevue, PA
- NPI 1306069091
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171497600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1616025600000",
"number": "1063555134",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3700 SANDY HILL RD",
"city": "GIBSONIA",
"state": "PA",
"postal_code": "150447784",
"telephone_number": "724-316-0717"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5499 WILLIAM FLYNN HWY",
"city": "GIBSONIA",
"state": "PA",
"postal_code": "150449675",
"telephone_number": "724-316-0717",
"fax_number": "724-443-6963"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GONGAWARE",
"first_name": "KRIS",
"middle_name": "DUANE",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-15",
"last_updated": "2021-03-18",
"certification_date": "2021-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "PA",
"license": "DC-006022",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gibsonia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.