Garst Clinic PLC

Primary specialty

Orthopedic ChiropractorTaxonomy code 111NX0800X

License

0104000405 Issued in VA

Legal business name

GARST CLINIC PLC

Practice address

3609 Brandon Ave SW
Roanoke, VA 24018-1525

Phone

(540) 297-3440

Fax

(540) 297-9313

NPI assigned

Apr 28, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Gary B Garst, D.C.NPI 1992816672

Title

Owner

Phone

(540) 297-3440

Specialties & licenses 1

Addresses

Other identifiers 7

Other names 1

• Garst Clinic of Chiropratic Other name

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Gary Bauer Garst, DC

  • Chiropractor
  • Roanoke, VA
  • NPI 1992816672
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1461801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473120000000",
    "number": "1437504354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3609 BRANDON AVE SW",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240181525",
            "telephone_number": "540-297-3440",
            "fax_number": "540-297-9313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3609 BRANDON AVE SW",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240181525",
            "telephone_number": "540-297-3440",
            "fax_number": "540-297-9313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARST CLINIC PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-28",
        "last_updated": "2016-09-06",
        "status": "A",
        "authorized_official_last_name": "GARST",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "540-297-3440",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NX0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Orthopedic",
            "state": "VA",
            "license": "0104000405",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1437504354",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTUM",
            "identifier": "460180",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "2089536",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "C09282",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "0004158926",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "142884",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITEDHEALTHCARE",
            "identifier": "1437504354",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Garst Clinic of Chiropratic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Kimberly G Garland, LPC
• Ashley Garman, RBT
• Dorothy Garner, M.D.
• Jill Garrett, APRN, FNP-BC
• Krysten Danielle Heath Garrett, LPC, CSAC
• Gary Bauer Garst, DC
• Rebecca Garst, LCSW
• Sydney Elizabeth Garst
• Michael John Gartland, LCSW
• Madison Hayes Garton

• Orthopedic Chiropractor in Roanoke, VA
• Providers in Roanoke, VA by specialty
• Orthopedic Chiropractor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 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.