Gary J Gangestad, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

A05686 Issued in IA

Practice address

141 N 7TH St
Denison, IA 51442-2457

Phone

(712) 263-6546

Fax

(712) 263-5825

NPI assigned

Jul 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 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Segebart Chiropractic PLLC

  • Chiropractor
  • Denison, IA
  • NPI 1679840540
  NPD (past)

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

{
    "created_epoch": "1122595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297123200000",
    "number": "1366442576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 N 7TH ST",
            "city": "DENISON",
            "state": "IA",
            "postal_code": "514422457",
            "telephone_number": "712-263-6546",
            "fax_number": "712-263-5825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 N 7TH ST",
            "city": "DENISON",
            "state": "IA",
            "postal_code": "514422457",
            "telephone_number": "712-263-6546",
            "fax_number": "712-263-5825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GANGESTAD",
        "first_name": "GARY",
        "middle_name": "J",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-29",
        "last_updated": "2011-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "A05686",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMERCIAL INS",
            "identifier": "421457633",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00161641",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0140046",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Family & Specialty Medical Center, P.C.
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• Linda Ann Fox, LPTA
• Marla Jean Franck, RPH
• Samantha R Freese
• Paul G. Gartner, CRNA
• Ayman Ahmad Ghattas, MD,MPH
• Julie L. Graeve, ARNP
• Jim Greenwood
• Deborah S Haase, L.I.S.W.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2011; 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.