Individual provider Active NPI

George Michael Gott, D.C.

  • Chiropractor
  • Nampa, ID
National Provider Identifier
1265601231
Registry record updated Nov 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIA490 Issued in ID
Practice address
1012 12TH Ave S
Nampa, ID 83651-4661
Phone
(208) 794-4774
Fax
(208) 466-9240
NPI assigned
Feb 25, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 9, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHIA490 ID Primary

Addresses

Primary practice location

1012 12TH Ave S
Nampa, ID 83651-4661

Mailing address

1012 12TH Ave S
Nampa, ID 83651-4661
Phone (208) 794-4774

Other identifiers 1

IdentifierTypeStateIssuer
001758900MedicaidID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CHIA490IDMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
McKim Chiropractic Chiropractor PastSince Feb 1, 2019 Accepting new patients
Indian Creek Chiropractic PLLC Chiropractor PastSince Aug 6, 2023 Accepting new patients
Gott Chiropractic Inc. Past Accepting new patients

Organizations & group practices 3

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": "1203897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1257724800000",
    "number": "1265601231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1012 12TH AVE S",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836514661",
            "telephone_number": "208-794-4774",
            "fax_number": "208-466-9240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1012 12TH AVE S",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836514661",
            "telephone_number": "208-794-4774",
            "fax_number": "208-466-9240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOTT",
        "first_name": "GEORGE",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-02-25",
        "last_updated": "2009-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ID",
            "license": "CHIA490",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001758900",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nampa, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.