Individual provider Active NPI

Aislin M Gerow, DC

  • Chiropractor
  • Trophy Club, TX
National Provider Identifier
1306046156
Registry record updated Jun 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
10573 Issued in TX
Practice address
501 Trophy Lake Dr Ste 322
Trophy Club, TX 76262-5239
Phone
(817) 430-0000
Fax
(817) 490-5138
NPI assigned
Jul 19, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 10573 TX Primary
Registered Nurse 163W00000X 599593 TX

Addresses

Primary practice location

501 Trophy Lake Dr Ste 322
Trophy Club, TX 76262-5239

Mailing address

501 Trophy Lake Dr Ste 322
Trophy Club, TX 76262-5239
Phone (817) 430-0000

Other identifiers 1

IdentifierTypeStateIssuer
TXB113369OtherTXPTAN

Other names 1

  • Candace M Gerow Former name

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
599593TXMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1184803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308873600000",
    "number": "1306046156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 TROPHY LAKE DR STE 322",
            "city": "TROPHY CLUB",
            "state": "TX",
            "postal_code": "762625239",
            "telephone_number": "817-430-0000",
            "fax_number": "817-490-5138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 TROPHY LAKE DR STE 322",
            "city": "TROPHY CLUB",
            "state": "TX",
            "postal_code": "762625239",
            "telephone_number": "817-430-0000",
            "fax_number": "817-490-5138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEROW",
        "first_name": "AISLIN",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-19",
        "last_updated": "2011-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "10573",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "599593",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "TXB113369",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CANDACE",
            "last_name": "GEROW",
            "middle_name": "M",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Trophy Club, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2011; 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.