Individual provider Active NPI

Christopher Alexander Gierke, DC

  • Chiropractor
  • Minneapolis, MN
National Provider Identifier
1316612120
Registry record updated Aug 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
6510 Issued in MN
Practice address
5125 Edina Industrial Blvd
Minneapolis, MN 55439-3044
Phone
(651) 707-6702
NPI assigned
Aug 12, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 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 6510 MN Primary

Addresses

Primary practice location

5125 Edina Industrial Blvd
Minneapolis, MN 55439-3044

Mailing address

6715 58TH Ave N
Crystal, MN 55428-3434

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
6510MNMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Lelwica Chiropractic Chiropractor PastSince Aug 23, 2021 Accepting new patients

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": "1628726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628726400000",
    "number": "1316612120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6715 58TH AVE N",
            "city": "CRYSTAL",
            "state": "MN",
            "postal_code": "554283434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5125 EDINA INDUSTRIAL BLVD",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554393044",
            "telephone_number": "651-707-6702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIERKE",
        "first_name": "CHRISTOPHER",
        "middle_name": "ALEXANDER",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-08-12",
        "last_updated": "2021-08-12",
        "certification_date": "2021-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "6510",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2021; 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.