Individual provider Active NPI

Caleb Paul Gorman, DC

  • Chiropractor
  • Eureka, MO
National Provider Identifier
1295328490
Registry record updated Feb 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2020042969 Issued in MO
Practice address
113 W. 5TH St.
Eureka, MO 63025-1109
Phone
(636) 938-9310
Fax
(636) 938-3204
NPI assigned
Feb 18, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2020042969 MO Primary

Addresses

Primary practice location

113 W. 5TH St.
Eureka, MO 63025-1109

Mailing address

113 W. 5TH St.
Eureka, MO 63025-1109
Phone (636) 938-9310

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220405000207 MO Practitioner - Chiropractic 2567858392 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2020
Medicare assignment
May accept Medicare assignment
Group practices
Comprehensive Chiropractic PCGroup PAC ID 2769458306, 3 clinicians

Practice addresses (Care Compare)

113 W 5TH St
Eureka, MO 63025-1109
Phone (636) 938-9310

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2020042969MOMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Chiropractic PC Chiropractor CurrentSince Mar 1, 2022 Accepting new patients

Locations

113 W 5th St
Eureka, MO 63025
Phone (636) 938-3210

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": "1613606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613606400000",
    "number": "1295328490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 W. 5TH ST.",
            "city": "EUREKA",
            "state": "MO",
            "postal_code": "630251109",
            "telephone_number": "636-938-9310",
            "fax_number": "636-938-3204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 W. 5TH ST.",
            "city": "EUREKA",
            "state": "MO",
            "postal_code": "630251109",
            "telephone_number": "636-938-9310",
            "fax_number": "636-938-3204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORMAN",
        "first_name": "CALEB",
        "middle_name": "PAUL",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-02-18",
        "last_updated": "2021-02-18",
        "certification_date": "2021-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2020042969",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eureka, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2021; 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.