Individual provider Active NPI

Martin J Gottschling, D C

  • Chiropractor
  • Mansfield, OH
National Provider Identifier
1417966045
Registry record updated Oct 17, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1257 Issued in OH
Practice address
605 S Trimble Rd
Suite a
Mansfield, OH 44906-4112
Phone
(419) 756-2986
Fax
(419) 756-4381
NPI assigned
Aug 5, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 17, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1257 OH Primary

Addresses

Primary practice location

605 S Trimble Rd
Suite a
Mansfield, OH 44906-4112

Mailing address

605 S Trimble Rd
Suite a
Mansfield, OH 44906-4112
Phone (419) 756-2986

Other identifiers 4

IdentifierTypeStateIssuer
0679556MedicaidOH
341815713003OtherOHMEDICAL MUTUAL
000000139658OtherOHANTHEM
44-00307OtherOHUNITED HEALTH CARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100927000008 OH Practitioner - Chiropractic 0941326003 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 1986
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

605 S Trimble Rd
Suite a
Mansfield, OH 44906-4112
Phone (419) 756-2986

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Gottschling Chiropractic Center, Inc. Chiropractor CurrentSince Jan 1, 1996 Accepting new patients
Joann M Gottschling PastSince Jan 1, 1996 Accepting new patients

Locations

605 S Trimble Rd
Ste A
Mansfield, OH 44906
Phone (419) 756-0766

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192579200000",
    "number": "1417966045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 S TRIMBLE RD",
            "address_2": "SUITE A",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "449064112",
            "telephone_number": "419-756-2986",
            "fax_number": "419-756-4381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 S TRIMBLE RD",
            "address_2": "SUITE A",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "449064112",
            "telephone_number": "419-756-2986",
            "fax_number": "419-756-4381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOTTSCHLING",
        "first_name": "MARTIN",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "D C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-05",
        "last_updated": "2007-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "1257",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0679556",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL MUTUAL",
            "identifier": "341815713003",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000139658",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "44-00307",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mansfield, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2007; 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.