Sydney Marie Gangl, DC
Individual provider Active NPI Chiropractor · Garrison, ND
NPI 1225798002 · NPPES record last updated Dec 21, 2021
Key facts
- NPI
- 1225798002
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 1163 (ND)
- Practice address
- 162 N Main Street
Garrison, ND 58540-5854 - Phone
- (701) 463-7808
- NPI assigned
- Dec 21, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - West Sunnyvale, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
162 N Main St
Garrison, ND 58540
Phone (701) 463-7808
PO Box
Suite 592
Garrison, ND 58540
PO Box
Suite 592
Garrison, ND 58540-0592
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in ND
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220302002351 | ND | Practitioner - Chiropractic | 0840682795 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1163 | ND | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lakeview Chiropractic | Chiropractor | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 1163 | ND | Yes |
Addresses
Primary practice location
162 N Main Street
Garrison, ND 58540-5854
Mailing address
PO Box 592
Garrison, ND 58540-0592
Phone (701) 463-7808
Other providers in Garrison, ND
- Elizabeth Ashley Diffely
- Jon E Dornacker
- DRS Schindler & Deis PC
- Heidi L Ermer
- Kim L Essler
- Latisha Gardon
- Garrison Ambulance District
- Garrison Memorial Hospital
- Garrison Memorial Hospital
- Garrison Memorial Hospital
All providers in Garrison, ND · Chiropractor in North Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 21, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.