Individual provider Active NPI

Emily Beth Gerson, DC

  • Chiropractor
  • Denver, CO
National Provider Identifier
1508047937
Registry record updated Sep 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
001694 Issued in CT
Practice address
1940 E 18TH Ave
Denver, CO 80206-1108
Phone
(203) 570-2678
NPI assigned
Nov 14, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 24, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 001694 CT Primary
Chiropractor 111N00000X 001694 CO
Chiropractor 111N00000X X011385-1 NY

Addresses

Primary practice location

1940 E 18TH Ave
Denver, CO 80206-1108

Mailing address

1940 E 18TH Ave
Denver, CO 80206-1108
Phone (203) 570-2678

Other practice location 1

25 2nd St
Unit C2
Stamford, CT 06905-5142
Phone (203) 325-3626

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191211001086 CO Practitioner - Chiropractic 0941633630 Reassigns benefits to 1 organization
Practice locations: Denver, CO

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
001694COMDChiropractor
X011385-1NYMDChiropractor
001694CTMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Alpha Back Chiropractic LLC Chiropractor PastSince Sep 29, 2019 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1194998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569283200000",
    "number": "1508047937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1940 E 18TH AVE",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802061108",
            "telephone_number": "203-570-2678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1940 E 18TH AVE",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802061108",
            "telephone_number": "203-570-2678"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "25 2nd St",
            "address_2": "Unit C2",
            "address_purpose": "LOCATION",
            "city": "Stamford",
            "state": "CT",
            "postal_code": "069055142",
            "country_code": "US",
            "telephone_number": "203-325-3626",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GERSON",
        "first_name": "EMILY",
        "middle_name": "BETH",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-11-14",
        "last_updated": "2019-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CT",
            "license": "001694",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "001694",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X011385-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2019; 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.