Individual provider Active NPI

Gretchen Ann Harig, D.C.

  • Chiropractor
  • Santa Rosa, CA
National Provider Identifier
1215144167
Registry record updated Aug 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
20872 Issued in CA
Practice address
1235 N Dutton Ave
Suite: D
Santa Rosa, CA 95401-4642
Phone
(707) 546-9822
Fax
(707) 546-9826
NPI assigned
May 17, 2007
Last updated
Aug 5, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 5, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 20872 CA Primary

Addresses

Primary practice location

1235 N Dutton Ave
Suite: D
Santa Rosa, CA 95401-4642

Mailing address

1235 N Dutton Ave
Suite: D
Santa Rosa, CA 95401-4642
Phone (707) 546-3546

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101006000598 CA Practitioner - Chiropractic 9234321423 Practice locations: Santa Rosa, CA

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College - West, 1989
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1235 N Dutton Ave
Suite D
Santa Rosa, CA 95401-4642
Phone (707) 546-9822

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470355200000",
    "number": "1215144167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1235 N DUTTON AVE",
            "address_2": "SUITE: D",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954014642",
            "telephone_number": "707-546-3546",
            "fax_number": "707-546-9826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1235 N DUTTON AVE",
            "address_2": "SUITE: D",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954014642",
            "telephone_number": "707-546-9822",
            "fax_number": "707-546-9826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARIG",
        "first_name": "GRETCHEN",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-17",
        "last_updated": "2016-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "20872",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Rosa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2016; 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.