Organization Active NPI

Gerber Family Chiropractic & Wellnes Center PLLC

  • Chiropractor
  • Queensbury, NY
National Provider Identifier
1295854792
Registry record updated Jun 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X011021-1 Issued in NY
Legal business name
GERBER FAMILY CHIROPRACTIC & WELLNES CENTER PLLC
Practice address
12 Haviland Rd
Queensbury, NY 12804-9720
Phone
(518) 793-5555
Fax
(518) 793-5551
NPI assigned
Mar 28, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2010

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

Authorized official

Name
Dr. Jonathan C Gerber, DC
Title
President
Phone
(518) 793-5555

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X X011021-1 NY Primary

Addresses

Primary practice location

12 Haviland Rd
Queensbury, NY 12804-9720

Mailing address

12 Haviland Rd
Queensbury, NY 12804-9720
Phone (518) 793-5555

National Provider Directory

National Provider Directory

Locations

12 Haviland Rd
Queensbury, NY 12804
Phone (518) 793-5555

NPI Registry JSON

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275350400000",
    "number": "1295854792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 HAVILAND RD",
            "city": "QUEENSBURY",
            "state": "NY",
            "postal_code": "128049720",
            "telephone_number": "518-793-5555",
            "fax_number": "518-793-5551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 HAVILAND RD",
            "city": "QUEENSBURY",
            "state": "NY",
            "postal_code": "128049720",
            "telephone_number": "518-793-5555",
            "fax_number": "518-793-5551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GERBER FAMILY CHIROPRACTIC & WELLNES CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-28",
        "last_updated": "2010-06-01",
        "status": "A",
        "authorized_official_last_name": "GERBER",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "518-793-5555",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X011021-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Queensbury, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2010; 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.