Gavric Chiropractic Clinic, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2141 Issued in WI

Legal business name

GAVRIC CHIROPRACTIC CLINIC, LLC

Practice address

7003 S Howell Ave Ste 1300
Oak Creek, WI 53154

Phone

(414) 762-8626

Fax

(414) 762-8765

NPI assigned

Dec 11, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Gregory D. Gavric, D.C.NPI 1326115072

Title

Owner

Phone

(414) 762-8626

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Locations

Practitioners 3

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

• Gregory D Gavric, D.C.

  • Chiropractor
  • Oak Creek, WI
  • NPI 1326115072
  Medicare reassignment NPD Authorized official
• Daniel Edward Hyatt, DC

  • Chiropractor
  • Oak Creek, WI
  • NPI 1932272507
  NPD (past)
• Jeffrey A Weide, D.C.

  • Chiropractor
  • Oak Creek, WI
  • NPI 1053357293
  NPD (past)

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539907200000",
    "number": "1174683163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7003 S HOWELL AVE STE 1300",
            "city": "OAK CREEK",
            "state": "WI",
            "postal_code": "531541402",
            "telephone_number": "414-762-8626",
            "fax_number": "414-762-8765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7003 S HOWELL AVE STE 1300",
            "city": "OAK CREEK",
            "state": "WI",
            "postal_code": "53154",
            "telephone_number": "414-762-8626",
            "fax_number": "414-762-8765"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "104 E Drexel Ave",
            "address_purpose": "LOCATION",
            "city": "Oak Creek",
            "state": "WI",
            "postal_code": "531542123",
            "country_code": "US",
            "telephone_number": "414-762-8626",
            "fax_number": "414-762-8765",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "104 E Drexel Ave",
            "address_purpose": "LOCATION",
            "city": "Oak Creek",
            "state": "WI",
            "postal_code": "531542123",
            "country_code": "US",
            "telephone_number": "414-762-8626",
            "fax_number": "414-762-8765",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GAVRIC CHIROPRACTIC CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-11",
        "last_updated": "2018-10-19",
        "status": "A",
        "authorized_official_last_name": "GAVRIC",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "414-762-8626",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "2141",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38840600",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brittany Marie Galewski, APNP
• Jasmin Garcia
• Lauren N Garcia, PTA
• Kristen Garey, DPT
• Jody Garner, COTA
• Gregory D Gavric, D.C.
• Tamicah Nicole Gelting, OTR
• Kelsey R Gerena, NP
• Laura Gessert, RBT
• Jamie L Gibula, DDS

• Chiropractor in Oak Creek, WI
• Providers in Oak Creek, WI by specialty
• Chiropractor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2018; 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.