Gary Gonnerman

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

04523 Issued in IA

Practice address

405 Sumner Ave
Humboldt, IA 50548-1728

Phone

(515) 332-2755

NPI assigned

Dec 29, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 1970

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

J Rittgers IncGroup PAC ID 9436474541, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• J Rittgers, Inc.

  • Chiropractor
  • Pocahontas, IA
  • NPI 1730587148
  Medicare reassignment Care Compare group NPD
• Early Chiropractic & Wellness, LLC

  • Chiropractor
  • Humboldt, IA
  • NPI 1023292109
  NPD (past)

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

{
    "created_epoch": "1135814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348012800000",
    "number": "1366429318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 SUMNER AVE",
            "city": "HUMBOLDT",
            "state": "IA",
            "postal_code": "505481728",
            "telephone_number": "515-332-2755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 SUMNER AVE",
            "city": "HUMBOLDT",
            "state": "IA",
            "postal_code": "505481728",
            "telephone_number": "515-332-2755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONNERMAN",
        "first_name": "GARY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-29",
        "last_updated": "2012-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "04523",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0132266",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "13226",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer Renee Forsberg, ARNP
• Function First Spine and Sport, PLLC
• Ryan Dane Gidel, DDS
• Taylor Gidel, PA-C
• Gonnerman Chiropractic & Acupuncture PC
• Larry James Hall, R.PH.
• Harvey Evans PC
• Stephanie Jo Harvey
• Ashley Haugland
• Heart of Play LLC

• Chiropractor in Humboldt, IA
• Providers in Humboldt, IA by specialty
• Chiropractor in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2012; 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.