Active NPI
John Adrian Gerber, D.C.
- Internist Chiropractor
- Blaine, MN
National Provider Identifier
1336158492
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internist Chiropractor
- License
- 2380
- Practice address
- 12265 Central Ave NE
Suite 108
Blaine, MN 55434-3961 - Phone
- (763) 757-8511
- Fax
- (763) 757-0140
- NPI assigned
- Aug 7, 2006
- Last updated
- Jul 9, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internist Chiropractor | 111NI0900X | 2380 | MN | Primary |
Addresses
Primary practice location
12265 Central Ave NE
Suite 108
Blaine, MN 55434-3961
Mailing address
12265 Central Ave NE
Suite 108
Blaine, MN 55434-3961
Phone (763) 757-8511
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| OHO94KE | Other | MN | BCBS |
| 0607282 00 | Other | MN | MINNESOTA HEALTH CARE PRO |
| 0167 | Other | MN | PREFERREDONE |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Open Heart Chiropractic PA | Past | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Chiropractor
- Blaine, MN
- NPI 1811687015
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154908800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1336158492",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12265 CENTRAL AVE NE",
"address_2": "SUITE 108",
"city": "BLAINE",
"state": "MN",
"postal_code": "554343961",
"telephone_number": "763-757-8511",
"fax_number": "763-757-0140"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12265 CENTRAL AVE NE",
"address_2": "SUITE 108",
"city": "BLAINE",
"state": "MN",
"postal_code": "554343961",
"telephone_number": "763-757-8511",
"fax_number": "763-757-0140"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GERBER",
"first_name": "JOHN",
"middle_name": "ADRIAN",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-07",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "111NI0900X",
"taxonomy_group": "",
"desc": "Chiropractor, Internist",
"state": "MN",
"license": "2380",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "OHO94KE",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MINNESOTA HEALTH CARE PRO",
"identifier": "0607282 00",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERREDONE",
"identifier": "0167",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Blaine, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.