Emma Jo Fowler, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

5968 Issued in MN

Practice address

215 3Rd St
Gaylord, MN 55334

Phone

(507) 237-2777

NPI assigned

Aug 18, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Restore Chiropractic and Wellness LLC

  • Chiropractor
  • Gaylord, MN
  • NPI 1659873420
  Medicare reassignment NPD Authorized official
• McGuire Family Chiropractic PA

  • Chiropractor
  • Gaylord, MN
  • NPI 1760763007
  NPD

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

{
    "created_epoch": "1408320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618358400000",
    "number": "1346649126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 226",
            "city": "GAYLORD",
            "state": "MN",
            "postal_code": "553340226",
            "telephone_number": "507-237-2777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 3RD ST",
            "city": "GAYLORD",
            "state": "MN",
            "postal_code": "55334",
            "telephone_number": "507-237-2777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOWLER",
        "first_name": "EMMA",
        "middle_name": "JO",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-08-18",
        "last_updated": "2021-04-14",
        "certification_date": "2021-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "5968",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• County of Sibley (Sibley County Human Services)
• Jackie Dietz
• Ashley Maria Engles, M.S. CF-SLP
• First Choice Pharmacy Inc (First Choice Pharmacy)
• First Choice Pharmacy of Gaylord MN, PLLC
• Josh Daniel Gavin, PTA
• Gaylord Dental Inc
• Gaylord Lakeview Home
• Jill Elizabeth Hewitt, M.S., L.M.F.T
• Angela Rose Hoff, MA OTR/L

• Chiropractor in Gaylord, MN
• Providers in Gaylord, MN by specialty
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.