Individual provider Active NPI

Tim Daniel Gearhart, DC

  • Sports Physician Chiropractor
  • Oelwein, IA
National Provider Identifier
1063667855
Registry record updated Nov 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
007141 Issued in IA
Practice address
14 8TH Ave NE
Oelwein, IA 50662-1938
Phone
(319) 283-3824
Fax
(319) 283-2647
NPI assigned
Nov 21, 2008
Last updated
Nov 21, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physician Chiropractor 111NS0005X 007141 IA Primary

Addresses

Primary practice location

14 8TH Ave NE
Oelwein, IA 50662-1938

Mailing address

14 8TH Ave NE
Oelwein, IA 50662-1938
Phone (319) 283-3824

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090108000019 IA Practitioner - Chiropractic 9931262524 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gearhart Chiropractic PCGroup PAC ID 2769708700, 2 clinicians

Practice addresses (Care Compare)

14 8TH Ave NE
Oelwein Chiropractic Clinic
Oelwein, IA 50662-1938
Phone (319) 283-3824

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
007141IAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Gearhart Chiropractic PC CurrentSince Mar 1, 2015 Accepting new patients

Locations

14 8th Ave NE
Oelwein, IA 50662
Phone (319) 283-3824

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1227225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1227225600000",
    "number": "1063667855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 8TH AVE NE",
            "city": "OELWEIN",
            "state": "IA",
            "postal_code": "506621938",
            "telephone_number": "319-283-3824",
            "fax_number": "319-283-2647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 8TH AVE NE",
            "city": "OELWEIN",
            "state": "IA",
            "postal_code": "506621938",
            "telephone_number": "319-283-3824",
            "fax_number": "319-283-2647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEARHART",
        "first_name": "TIM",
        "middle_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-11-21",
        "last_updated": "2008-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "IA",
            "license": "007141",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oelwein, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2008; 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.