Robert William Gaston, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2301006073 Issued in MI

Practice address

625 2ND St
Traverse City, MI 49684-2220

Phone

(231) 922-5060

Fax

(231) 922-5062

NPI assigned

Jun 9, 2005

Reactivated

Mar 21, 2006

Last updated

Jul 25, 2011By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Specialty

Chiropractic

Education

Life Chiropractic College - West, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Gaston Family Chiropractic LLCGroup PAC ID 4284711383, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Gaston Family Chiropractic LLC

  • Chiropractor
  • Traverse City, MI
  • NPI 1912028200
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1118275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311552000000",
    "number": "1518961499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 2ND ST",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496842220",
            "telephone_number": "231-922-5060",
            "fax_number": "231-922-5062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 2ND ST",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496842220",
            "telephone_number": "231-922-5060",
            "fax_number": "231-922-5062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GASTON",
        "first_name": "ROBERT",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-09",
        "last_updated": "2011-07-25",
        "deactivation_date": "2006-03-15",
        "reactivation_date": "2006-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301006073",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CARE NETWORK",
            "identifier": "P87962",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MI",
            "identifier": "0B85444",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3085520",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sara Sue Gartland
• Gary S Ruoff DO PC
• Alexis Margaret Gasior, DPT
• Karol Peter Gasior, DPT
• Gaston Family Chiropractic LLC
• Kylee Gatzke, FNP
• Kayla Gauden
• Toni Renee Gaultier, N.P.
• Cheryl Gay
• Amanda Gaylord, RN

• Chiropractor in Traverse City, MI
• Providers in Traverse City, MI by specialty
• Chiropractor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2011; 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.