Samuel Gunlogson, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4692 Issued in MN

Practice address

519 S 1St St
Montevideo, MN 56265-2103

Phone

(320) 269-3211

Fax

(320) 269-9465

NPI assigned

Aug 5, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Specialty

Chiropractic

Education

Northwestern College of Chiropractic, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Gunlogson Family Chiropractic PAGroup PAC ID 7416973995, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Gunlogson Family Chiropractic, P.a.

  • Chiropractor
  • Montevideo, MN
  • NPI 1821151150
  Medicare reassignment Care Compare group NPD Authorized official
• Pain Relief Center of Willmar P.a.

  • Chiropractor
  • Willmar, MN
  • NPI 1497793046
  NPD (past)

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1356480000000",
    "number": "1265441968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "519 S 1ST ST",
            "city": "MONTEVIDEO",
            "state": "MN",
            "postal_code": "562652103",
            "telephone_number": "320-269-3211",
            "fax_number": "320-269-9465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "519 S 1ST ST",
            "city": "MONTEVIDEO",
            "state": "MN",
            "postal_code": "562652103",
            "telephone_number": "320-269-3211",
            "fax_number": "320-269-9465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUNLOGSON",
        "first_name": "SAMUEL",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-05",
        "last_updated": "2012-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "4692",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "193G8CO",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "022526600",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACN GROUP",
            "identifier": "694114",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marissa Ann Goplen, D.D.S.
• Pamela Rae Gregor
• Jacob Groen, DC
• Gunlogson Family Chiropractic, P.a.
• Jennifer Erin Gunlogson, D.C.
• Patrick John Hanna, M.D.
• Ona Mae Hanson-Gustafson, MSW
• Jordan Randall Hanson, PHARMD
• Randi Harlow
• Hearing Care by Gina LLC

• All providers in Montevideo, MN
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2012; 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.