Daniel Robert Gaustad, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4258 Issued in MN

Practice address

2736 Lyndale Ave S
Suite 210
Minneapolis, MN 55408-1309

Phone

(612) 327-1447

Fax

(612) 677-3368

NPI assigned

Nov 15, 2006

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357171200000",
    "number": "1497828008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2736 LYNDALE AVE S",
            "address_2": "SUITE 210",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554081309",
            "telephone_number": "612-327-1447",
            "fax_number": "612-677-3368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2736 LYNDALE AVE S",
            "address_2": "SUITE 210",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554081309",
            "telephone_number": "612-327-1447",
            "fax_number": "612-677-3368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAUSTAD",
        "first_name": "DANIEL",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-15",
        "last_updated": "2013-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "4258",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gateway Wellness LLC
• Marci Louise Gatlin
• Thomas Gatza, CRNA
• Jacob Oscar Gau, OTR/L
• Richard Eugene Gauger, PT
• Nancy Gayle Gauthier
• Margaret Elizabeth Gavian, PHD, LP
• Amy Gaviglio, MS, CGC
• Janet Lee Gavin, NP
• Mark R Gavin, M.D.

• Chiropractor in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2013; 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.