Organization Active NPI

Gonnerman Chiropractic & Acupuncture PC

  • Chiropractor
  • Humboldt, IA
National Provider Identifier
1497085070
Registry record updated Jul 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
GONNERMAN CHIROPRACTIC & ACUPUNCTURE PC
Practice address
405 Sumner Ave Ste a
Humboldt, IA 50548-1756
Phone
(515) 332-2755
NPI assigned
Jan 5, 2010
Last updated
Jul 8, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2020

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

Authorized official

Name
Dr. Gary L Gonnerman, D.C.NPI 1366429318
Title
Owner/President
Phone
(515) 332-2755

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

405 Sumner Ave Ste a
Humboldt, IA 50548-1756

Mailing address

405 Sumner Ave
Humboldt, IA 50548-1728
Phone (515) 332-2755

National Provider Directory

National Provider Directory

Locations

405 Sumner Ave
Humboldt, IA 50548
Phone (515) 332-2755

405 Sumner Ave
Ste A
Humboldt, IA 50548
Phone (515) 332-2755

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1262649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594166400000",
    "number": "1497085070",
    "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 STE A",
            "city": "HUMBOLDT",
            "state": "IA",
            "postal_code": "505481756",
            "telephone_number": "515-332-2755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GONNERMAN CHIROPRACTIC & ACUPUNCTURE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-05",
        "last_updated": "2020-07-08",
        "certification_date": "2020-07-08",
        "status": "A",
        "authorized_official_last_name": "GONNERMAN",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "515-332-2755",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Humboldt, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2020; 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.