Organization Active NPI

Gottschling Chiropractic Center, Inc.

  • Chiropractor
  • Mansfield, OH
National Provider Identifier
1134318017
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1257 Issued in OH
Legal business name
GOTTSCHLING CHIROPRACTIC CENTER, INC.
Practice address
605 S Trimble Rd
Suite a
Mansfield, OH 44906-4112
Phone
(419) 756-2986
Fax
(515) 583-6974
NPI assigned
Oct 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2008

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

Authorized official

Name
Martin J Gottschling, D. C.NPI 1417966045
Title
Doctor
Phone
(419) 756-0701

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 1257 OH Primary

Addresses

Primary practice location

605 S Trimble Rd
Suite a
Mansfield, OH 44906-4112

Mailing address

605 S Trimble Rd
Suite a
Mansfield, OH 44906-4112
Phone (419) 756-2986

Other identifiers 6

IdentifierTypeStateIssuer
44-00307OtherOHUNITED HEALTH CARE
0679556MedicaidOH
268600743-00OtherOHBWC
000000194874OtherOHUNISON
000000139658OtherOHANTHEM
10284803700OtherOHCARESOURCE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100927000004 OH Part B Supplier - Clinic/Group Practice 9032235197 Receives reassigned benefits from 1 practitioner
Practice locations: Mansfield, OH

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1192579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1134318017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 S TRIMBLE RD",
            "address_2": "SUITE A",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "449064112",
            "telephone_number": "419-756-2986",
            "fax_number": "515-583-6974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 S TRIMBLE RD",
            "address_2": "SUITE A",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "449064112",
            "telephone_number": "419-756-2986",
            "fax_number": "515-583-6974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOTTSCHLING CHIROPRACTIC CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-17",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "GOTTSCHLING",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "419-756-0701",
        "authorized_official_credential": "D. C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "1257",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "44-00307",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0679556",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BWC",
            "identifier": "268600743-00",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNISON",
            "identifier": "000000194874",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000139658",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARESOURCE",
            "identifier": "10284803700",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mansfield, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.