Active NPI
Shawn Gerard
- Chiropractor
- Eldridge, IA
National Provider Identifier
1154706265
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 078973
- Practice address
- 112W Davenport St 1
Eldridge, IA 52748-1252 - Phone
- (563) 223-9120
- NPI assigned
- Jul 30, 2015
- Last updated
- Sep 1, 2015
- 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 | 078973 | IA | Primary |
| Sports Physician Chiropractor | 111NS0005X | 078973 | IA |
Addresses
Primary practice location
112W Davenport St 1
Eldridge, IA 52748-1252
Mailing address
112 W Davenport St Unit 1
Eldridge, IA 52748-1252
Phone (563) 223-9120
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
208 W Franklin St
Unit 1
Eldridge, IA 52748-1242
Phone (563) 223-9120
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 078973 | IA | MD | Sports Physician Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gerard Chiropractic | Chiropractor | Current | Accepting new patients |
Locations
208 W Franklin St
Unit 1
Eldridge, IA 52748
Phone (563) 223-9120
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.
-
- Chiropractor
- Eldridge, IA
- NPI 1982089025
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1438214400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1441065600000",
"number": "1154706265",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "112 W DAVENPORT ST UNIT 1",
"city": "ELDRIDGE",
"state": "IA",
"postal_code": "527481252",
"telephone_number": "563-223-9120"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "112W DAVENPORT ST 1",
"city": "ELDRIDGE",
"state": "IA",
"postal_code": "527481252",
"telephone_number": "563-223-9120"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GERARD",
"first_name": "SHAWN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-07-30",
"last_updated": "2015-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IA",
"license": "078973",
"primary": true
},
{
"code": "111NS0005X",
"taxonomy_group": "",
"desc": "Chiropractor, Sports Physician",
"state": "IA",
"license": "078973",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Eldridge, IA
- Eldridge Family Dentistry LLC
- Eldridge Spine & Wellness Center P.C.
- Enhance Your Health Chiropractic
- Genesis Health System (Genesis Health Group)
- Gerard Chiropractic
- Golden Goals Therapy, LLC
- Grand Haven LLC
- Ground & Grow Counseling LLC
- Tiffany L Guge, OTRL
- H a Nelson Enterprises LLC (Back to Health Chiropractic)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2015; 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.