Individual provider Active NPI

Gavin Charles Spennewyn, DC

  • Chiropractor
  • Burnsville, MN
National Provider Identifier
1508497074
Registry record updated Aug 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
6709 Issued in MN
Practice address
14300 Buck Hill Rd Ste E
Burnsville, MN 55306-6245
Phone
(952) 866-9010
Fax
(844) 424-1518
NPI assigned
Feb 3, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 119669 IA
Chiropractor 111N00000X 6709 MN Primary

Addresses

Primary practice location

14300 Buck Hill Rd Ste E
Burnsville, MN 55306-6245

Mailing address

14300 Buck Hill Rd Ste E
Burnsville, MN 55306-6245
Phone (952) 866-9010

Other practice location 1

6550 York Ave S Ste 600
Edina, MN 55435-2367
Phone (952) 941-3311

Other practice location 2

2550 University Ave W Ste 143N
Saint Paul, MN 55114-1098
Phone (952) 941-3311

Other practice location 3

2793 100th St
Urbandale, IA 50322-3863
Phone (515) 999-5987

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, IA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200309001334 MN Practitioner - Chiropractic 0244668127 Reassigns benefits to 1 organization
I20231218001236 IA Practitioner - Chiropractic 0244668127 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 2019
Medicare assignment
May accept Medicare assignment
Group practices
Meier Family Chiropractic LLCGroup PAC ID 6406197821, 2 clinicians

Practice addresses (Care Compare)

2793 100TH St
Urbandale, IA 50322-3863
Phone (515) 999-5987

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
119669IAMDChiropractor
6709MNMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Institute for Orthopedics & Chiropractic, PLLC Chiropractor CurrentSince Feb 4, 2020 Accepting new patients
Institute for Orthopedics & Chiropractic, PLLC Chiropractor CurrentSince Feb 4, 2020 Accepting new patients
Meier Family Chiropractic LLC Chiropractor CurrentSince Dec 1, 2023 Accepting new patients
Vermillion Inc PastSince Dec 1, 2023 Accepting new patients
Wyn Chiropractic & Rehabilitation PLLC Chiropractor Past Accepting new patients

Locations

2793 100th St
Urbandale, IA 50322
Phone (515) 727-1406

14300 Buck Hill Rd
Ste E
Burnsville, MN 55306
Phone (952) 892-1628

6550 York Ave S
Ste 600
Minneapolis, MN 55435
Phone (952) 941-3311

2550 University Ave W
Ste 143N
Saint Paul, MN 55114
Phone (651) 642-1013

2550 University Ave W
Ste 137N
Saint Paul, MN 55114
Phone (952) 941-3311

Organizations & group practices 5

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": "1580688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786924800000",
    "number": "1508497074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14300 BUCK HILL RD STE E",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553066245",
            "telephone_number": "952-866-9010",
            "fax_number": "844-424-1518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14300 BUCK HILL RD STE E",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553066245",
            "telephone_number": "952-866-9010",
            "fax_number": "844-424-1518"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6550 York Ave S Ste 600",
            "address_purpose": "LOCATION",
            "city": "Edina",
            "state": "MN",
            "postal_code": "554352367",
            "country_code": "US",
            "telephone_number": "952-941-3311",
            "fax_number": "952-944-2004",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2550 University Ave W Ste 143N",
            "address_purpose": "LOCATION",
            "city": "Saint Paul",
            "state": "MN",
            "postal_code": "551141098",
            "country_code": "US",
            "telephone_number": "952-941-3311",
            "fax_number": "952-944-2004",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2793 100th St",
            "address_purpose": "LOCATION",
            "city": "Urbandale",
            "state": "IA",
            "postal_code": "503223863",
            "country_code": "US",
            "telephone_number": "515-999-5987",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SPENNEWYN",
        "first_name": "GAVIN",
        "middle_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-02-03",
        "last_updated": "2026-08-17",
        "certification_date": "2026-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "119669",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "6709",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burnsville, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2026; 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.