Active NPI
Lanny Ross Gabbert, DC
- Chiropractor
- Williston, ND
National Provider Identifier
1154370419
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 526
- Practice address
- 2402 12TH Ave W
Williston, ND 58801-3203 - Phone
- (701) 870-2225
- NPI assigned
- May 6, 2006
- Last updated
- Mar 1, 2010
- 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 | 526 | ND | Primary |
Addresses
Primary practice location
2402 12TH Ave W
Williston, ND 58801-3203
Mailing address
2402 12TH Ave W
Williston, ND 58801-3203
Phone (701) 870-2225
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 17214 | Medicaid | ND |
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 |
|---|---|---|---|
| 526 | ND | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146873600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1267401600000",
"number": "1154370419",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2402 12TH AVE W",
"city": "WILLISTON",
"state": "ND",
"postal_code": "588013203",
"telephone_number": "701-870-2225"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2402 12TH AVE W",
"city": "WILLISTON",
"state": "ND",
"postal_code": "588013203",
"telephone_number": "701-870-2225"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GABBERT",
"first_name": "LANNY",
"middle_name": "ROSS",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-06",
"last_updated": "2010-03-01",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "ND",
"license": "526",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "17214",
"state": "ND"
}
],
"endpoints": [],
"other_names": []
}Other providers in Williston, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.