Gerckens Chiropractic and Wellness Center Inc.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

14605 Issued in CA

Legal business name

GERCKENS CHIROPRACTIC AND WELLNESS CENTER INC.

Practice address

801 S Victoria Ave Ste 100
Ventura, CA 93003-5357

Phone

(805) 644-0460

Fax

(805) 644-0465

NPI assigned

Feb 4, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Brant L. Gerckens, D.C.NPI 1588703110

Title

President

Phone

(805) 644-0460

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

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.

• Brant L Gerckens, D.C.

  • Nutrition Chiropractor
  • Ventura, CA
  • NPI 1588703110
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1454544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461024000000",
    "number": "1356709372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 S VICTORIA AVE STE 100",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930035357",
            "telephone_number": "805-644-0460",
            "fax_number": "805-644-0465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 S VICTORIA AVE STE 100",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930035357",
            "telephone_number": "805-644-0460",
            "fax_number": "805-644-0465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GERCKENS CHIROPRACTIC AND WELLNESS CENTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-04",
        "last_updated": "2016-04-19",
        "status": "A",
        "authorized_official_last_name": "GERCKENS",
        "authorized_official_first_name": "BRANT",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "805-644-0460",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "14605",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Geralyn Carol Gendron, MFT
• Genesis Programs, Inc.
• Genetic Eye Therapies PC
• Gentle Care Inc- Ventura
• George Chen DO PC
• Brant L Gerckens, D.C.
• Deion Gerhard
• Alexandra Gerkensmeyer
• Serena Germain
• Melanie Gero, M.D.

• Chiropractor in Ventura, CA
• Providers in Ventura, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2016; 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.