Individual provider Active NPI

Chad Gaskell, D.C.

  • Chiropractor
  • Sioux City, IA
National Provider Identifier
1245326669
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
6251 Issued in IA
Practice address
2609 Gordon Dr
Sioux City, IA 51106-5745
Phone
(712) 255-7037
Fax
(712) 255-1353
NPI assigned
Oct 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 6251 IA Primary

Addresses

Primary practice location

2609 Gordon Dr
Sioux City, IA 51106-5745

Mailing address

2609 Gordon Dr
Sioux City, IA 51106-5745
Phone (712) 255-7037

Other identifiers 1

IdentifierTypeStateIssuer
0289744MedicaidIA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100824000816 IA Practitioner - Chiropractic 9133243405 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gaskell Chiropractic Services PCGroup PAC ID 7416847223, 2 clinicians

Practice addresses (Care Compare)

2609 Gordon Dr
Sioux City, IA 51106-5745
Phone (712) 255-7037

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6251IAMDPeriodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Gaskell Chiropractic Services PC Chiropractor CurrentSince Aug 24, 1999 Accepting new patients

Locations

2609 Gordon Dr
Sioux City, IA 51106
Phone (712) 255-7037

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1245326669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2609 GORDON DR",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511065745",
            "telephone_number": "712-255-7037",
            "fax_number": "712-255-1353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2609 GORDON DR",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511065745",
            "telephone_number": "712-255-7037",
            "fax_number": "712-255-1353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GASKELL",
        "first_name": "CHAD",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "6251",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0289744",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sioux City, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.