Andrea Gonstead, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3123 Issued in WI

Practice address

3535 Clinic Road
Beloit, WI 53511

Phone

(608) 365-1656

Fax

(608) 365-2250

NPI assigned

Dec 6, 2006

Sex

Female

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 1

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 1994

Medicare assignment

May accept Medicare assignment

Group practices

Gonstead Chiropractic Clinic SCGroup PAC ID 9931272408, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Gonstead Chiropractic Clinic SC

  • Chiropractor
  • Beloit, WI
  • NPI 1518026657
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288310400000",
    "number": "1275692360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3535 CLINIC ROAD",
            "city": "BELOIT",
            "state": "WI",
            "postal_code": "53511",
            "telephone_number": "608-365-1656",
            "fax_number": "608-365-2250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3535 CLINIC ROAD",
            "city": "BELOIT",
            "state": "WI",
            "postal_code": "53511",
            "telephone_number": "608-365-1656",
            "fax_number": "608-365-2250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONSTEAD",
        "first_name": "ANDREA",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-06",
        "last_updated": "2010-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "3123",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38883200",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Briana Lynn Glynn, MSW, LCSW, CSAC
• Megan Goehl
• Krzysztof Goetzen, MD
• Kenneth I Gold, MD
• Gonstead Chiropractic Clinic SC
• Eric J Gonstead, DC
• Eugene Adrian Gonzales, MD
• Giuliana Jose Gonzalez Barrios, FNP
• Jaime Gonzalez, MD
• Eric J Goth, MD

• Chiropractor in Beloit, WI
• Providers in Beloit, WI by specialty
• Chiropractor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2010; 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.