Gordon M Pointer, DO

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038007262 Issued in IL

Practice address

627 East 2ND St
Kewanee, IL 61443

Phone

(309) 852-6514

Fax

(309) 856-5705

NPI assigned

Sep 27, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Pointer Chiropractic, LLC.

  • Chiropractor
  • Kewanee, IL
  • NPI 1245551613
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316995200000",
    "number": "1205927464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "627 EAST 2ND ST",
            "city": "KEWANEE",
            "state": "IL",
            "postal_code": "61443",
            "telephone_number": "309-852-6514",
            "fax_number": "309-856-5705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "627 EAST 2ND ST",
            "city": "KEWANEE",
            "state": "IL",
            "postal_code": "61443",
            "telephone_number": "309-852-6514",
            "fax_number": "309-856-5705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POINTER",
        "first_name": "GORDON",
        "middle_name": "M",
        "name_prefix": "Mr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-27",
        "last_updated": "2011-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038007262",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "A5729",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "038007262",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Petersen Health Care LL, Inc.
• Petersen Health Care, Inc
• Petersen Health Systems, Inc
• Petersen Health Systems, Inc.
• Pointer Chiropractic, LLC.
• Kaitlyn Rapps, DPT
• Kelli E Rashid, OTRL
• Amanda Rediger
• Regional Family Health Center
• Regional Health Partners, LLC

• Chiropractor in Kewanee, IL
• Providers in Kewanee, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2011; 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.

Verify at the official NPI Registry.