Gunnerson Chiropractic Inc.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3335 Issued in MN

Legal business name

GUNNERSON CHIROPRACTIC INC.

Practice address

1325 NW 4TH St Ste 200
Grand Rapids, MN 55744-2209

Phone

(218) 326-4022

NPI assigned

Sep 28, 2006

Organization subpart

No

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

Authorized official

Name

Lane GunnersonNPI 1689694044

Title

Owner

Phone

(218) 326-4022

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lane N Gunnerson, DC

  • Chiropractor
  • Grand Rapids, MN
  • NPI 1689694044
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322524800000",
    "number": "1316038680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1325 NW 4TH ST STE 200",
            "city": "GRAND RAPIDS",
            "state": "MN",
            "postal_code": "557442209",
            "telephone_number": "218-326-4022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 NW 4TH ST STE 200",
            "city": "GRAND RAPIDS",
            "state": "MN",
            "postal_code": "557442209",
            "telephone_number": "218-326-4022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUNNERSON CHIROPRACTIC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-28",
        "last_updated": "2011-11-29",
        "status": "A",
        "authorized_official_last_name": "GUNNERSON",
        "authorized_official_first_name": "LANE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "218-326-4022"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "3335",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "281827200",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "350052380",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "4C806GU",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nikki Gruber
• Guardian Flight LLC
• Guardian Flight LLC
• Cristina Inez McLean Guimaraes, PHARMD
• Angela M Gunderson, OTR/L
• Lane N Gunnerson, DC
• Natalie Jane Gustafson, NP
• Bruce Haag, LADC
• Theresa Louise Hachey, LADC
• Kristina Anne Haden, APRN, CNP

• Chiropractor in Grand Rapids, MN
• Providers in Grand Rapids, MN by specialty
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.