Organization Active NPI

Gearhart Chiropractic PC

  • Chiropractor
  • Oelwein, IA
National Provider Identifier
1184013443
Registry record updated Feb 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
GEARHART CHIROPRACTIC PC
Practice address
14 8TH Ave NE
Oelwein, IA 50662-1938
Phone
(319) 283-3824
Fax
(319) 283-2647
NPI assigned
Jan 9, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2015

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

Authorized official

Name
Timothy D Gearhart, DC
Title
Owner
Phone
(319) 283-3824

Specialties & licenses 1

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

Other names 1

  • Oelwein Chiropractic Clinic INC Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150310000759 IA Part B Supplier - Clinic/Group Practice 2769708700 Receives reassigned benefits from 2 practitioners
Practice locations: Oelwein, IA

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": "1420761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424908800000",
    "number": "1184013443",
    "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": {
        "organization_name": "GEARHART CHIROPRACTIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-09",
        "last_updated": "2015-02-26",
        "status": "A",
        "authorized_official_last_name": "GEARHART",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "319-283-3824",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oelwein Chiropractic Clinic INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Feb 26, 2015; 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.