Gonstead Chiropractic Clinic SC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

GONSTEAD CHIROPRACTIC CLINIC SC

Practice address

3535 Clinic Road
Beloit, WI 53511

Phone

(608) 365-1656

Fax

(608) 365-2250

NPI assigned

Dec 6, 2006

Organization subpart

No

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

Authorized official

Name

Andrea Gonstead, DCNPI 1275692360

Title

President

Phone

(608) 365-1656

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Andrea Gonstead, DC

  • Chiropractor
  • Beloit, WI
  • NPI 1275692360
  Medicare reassignment Care Compare group NPD Authorized official
• Eric J Gonstead, DC

  • Chiropractor
  • Beloit, WI
  • NPI 1477612554
  Medicare reassignment Care Compare group NPD
• Megan Nicole White, D.C.

  • Chiropractor
  • Beloit, WI
  • NPI 1023587672
  NPD

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288310400000",
    "number": "1518026657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3535 CLINIC ROAD",
            "city": "BELOIT",
            "state": "WI",
            "postal_code": "53511",
            "telephone_number": "608-365-1656",
            "fax_number": "608-365-2250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3535 CLINIC ROAD",
            "city": "BELOIT",
            "state": "WI",
            "postal_code": "53511",
            "telephone_number": "608-365-1656",
            "fax_number": "608-365-2250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GONSTEAD CHIROPRACTIC CLINIC SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-06",
        "last_updated": "2010-10-29",
        "status": "A",
        "authorized_official_last_name": "GONSTEAD",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "608-365-1656",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carrie Glover, NP
• Briana Lynn Glynn, MSW, LCSW, CSAC
• Megan Goehl
• Krzysztof Goetzen, MD
• Kenneth I Gold, MD
• Andrea Gonstead, DC
• Eric J Gonstead, DC
• Eugene Adrian Gonzales, MD
• Giuliana Jose Gonzalez Barrios, FNP
• Jaime Gonzalez, MD

• Chiropractor in Beloit, WI
• Providers in Beloit, WI by specialty
• Chiropractor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2010; 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.