Organization Active NPI

Gangl Chiropractic Inc

  • Clinic/Center
  • Elk River, MN
National Provider Identifier
1558304337
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
4737 Issued in MN
Legal business name
GANGL CHIROPRACTIC INC
Practice address
18336 Joplin St NW
Elk River, MN 55330-1773
Phone
(763) 441-0999
Fax
(763) 441-3888
NPI assigned
Jun 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Nicole Marie Gangl, DC
Title
Chiropractor/President
Phone
(763) 441-0999

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 4737 MN Primary

Addresses

Primary practice location

18336 Joplin St NW
Elk River, MN 55330-1773

Mailing address

18336 Joplin St NW
Elk River, MN 55330-1773
Phone (763) 441-0999

National Provider Directory

National Provider Directory

Locations

4555 Erin Dr
Ste 210
Eagan, MN 55122
Phone (651) 452-2225

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1558304337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18336 JOPLIN ST NW",
            "city": "ELK RIVER",
            "state": "MN",
            "postal_code": "553301773",
            "telephone_number": "763-441-0999",
            "fax_number": "763-441-3888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18336 JOPLIN ST NW",
            "city": "ELK RIVER",
            "state": "MN",
            "postal_code": "553301773",
            "telephone_number": "763-441-0999",
            "fax_number": "763-441-3888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GANGL CHIROPRACTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GANGL",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "CHIROPRACTOR/PRESIDENT",
        "authorized_official_telephone_number": "763-441-0999",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "MN",
            "license": "4737",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elk River, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.