Individual provider Active NPI

Anthony Karl Gettel, D.C., D.A.C.R.B.

  • Rehabilitation Chiropractor
  • Fergus Falls, MN
National Provider Identifier
1467535674
Registry record updated Oct 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
License
002144 Issued in MN
Practice address
755 Wildwood TRL
Fergus Falls, MN 56537-2662
Phone
(218) 739-2819
NPI assigned
Oct 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Chiropractor 111NR0400X 002144 MN Primary

Addresses

Primary practice location

755 Wildwood TRL
Fergus Falls, MN 56537-2662

Mailing address

755 Wildwood TRL
Fergus Falls, MN 56537-2662
Phone (218) 739-2819

Other identifiers 1

IdentifierTypeStateIssuer
307327100MedicaidMN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100315000997 MN Practitioner - Chiropractic 1456486596 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 1984
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

755 Wildwood TRL
Fergus Falls, MN 56537-2662
Phone (218) 739-2819

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
002144MNMDRehabilitation Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Anthony Gettel DC LLC CurrentSince Jan 2, 2016 Accepting new patients

Organizations & group practices 1

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": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444003200000",
    "number": "1467535674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "755 WILDWOOD TRL",
            "city": "FERGUS FALLS",
            "state": "MN",
            "postal_code": "565372662",
            "telephone_number": "218-739-2819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "755 WILDWOOD TRL",
            "city": "FERGUS FALLS",
            "state": "MN",
            "postal_code": "565372662",
            "telephone_number": "218-739-2819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GETTEL",
        "first_name": "ANTHONY",
        "middle_name": "KARL",
        "name_prefix": "Dr.",
        "credential": "D.C., D.A.C.R.B.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-23",
        "last_updated": "2015-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "MN",
            "license": "002144",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "307327100",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fergus Falls, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2015; 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.