Individual provider Active NPI

Sarah Anne Gamoke, DC

  • Chiropractor
  • Apple Valley, MN
National Provider Identifier
1558944264
Registry record updated Apr 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
6851 Issued in MN
Practice address
14859 Energy Way
Apple Valley, MN 55124-5763
Phone
(952) 432-3333
NPI assigned
Apr 30, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 6851 MN Primary

Addresses

Primary practice location

14859 Energy Way
Apple Valley, MN 55124-5763

Mailing address

14859 Energy Way
Apple Valley, MN 55124-5763
Phone (952) 432-3333

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210614001750 MN Practitioner - Chiropractic 0143620179 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Johnson Spinal Care Associates, P.a. Chiropractor CurrentSince May 10, 2021 Accepting new patients

Locations

14859 Energy Way
Saint Paul, MN 55124
Phone (651) 423-5250

3485 Willow Lake Blvd
Ste 100
Vadnais Heights, MN 55110
Phone (651) 484-5567

Organizations & group practices 1

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": "1619740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619740800000",
    "number": "1558944264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14859 ENERGY WAY",
            "city": "APPLE VALLEY",
            "state": "MN",
            "postal_code": "551245763",
            "telephone_number": "952-432-3333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14859 ENERGY WAY",
            "city": "APPLE VALLEY",
            "state": "MN",
            "postal_code": "551245763",
            "telephone_number": "952-432-3333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAMOKE",
        "first_name": "SARAH",
        "middle_name": "ANNE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-30",
        "last_updated": "2021-04-30",
        "certification_date": "2021-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "6851",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Apple Valley, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2021; 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.