Individual provider Active NPI

Stephen Gary Gumpenberger, D.C

  • Chiropractor
  • Circleville, OH
National Provider Identifier
1568425775
Registry record updated Oct 31, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3313 Issued in OH
Practice address
1015 S Court St
Suite a
Circleville, OH 43113-2143
Phone
(740) 474-2921
Fax
(740) 474-4941
NPI assigned
Apr 10, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 31, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3313 OH Primary

Addresses

Primary practice location

1015 S Court St
Suite a
Circleville, OH 43113-2143

Mailing address

114 Scioto Landing Blvd
S Bloomfield, OH 43103-9332
Phone (740) 983-1936

Other identifiers 6

IdentifierTypeStateIssuer
000000384125OtherOHANTHEM CIRCLEVILLE
2347151MedicaidOH
000000385990OtherOHANTHEM WILMINGTON
DD214OtherOHRAILROAD MCR
030554726027OtherOHCARESOURCE
7871398OtherOHAETNA

Other names 1

  • Dr. Steve Gary Gumpenberger Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Practice roles

OrganizationSpecialtyStatusNew patients
Family Chiropractic of Circleville LLC Chiropractor Current Accepting new patients
Paciorek Enterprises, LLC. Chiropractor PastSince Feb 9, 2007 Accepting new patients
Reno Chiropractic Clinic, P.a. Chiropractor PastSince Sep 1, 2019 Accepting new patients
Lackey & Nielson Chiropractic PA Chiropractor PastSince Aug 24, 2011 Accepting new patients

Locations

1015 S Court St
Unit A
Circleville, OH 43113
Phone (740) 474-2921

140 Fairway Dr
#315
Wilmington, OH 45177
Phone (937) 383-3500

Organizations & group practices 4

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": "1144627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193788800000",
    "number": "1568425775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 SCIOTO LANDING BLVD",
            "city": "S BLOOMFIELD",
            "state": "OH",
            "postal_code": "431039332",
            "telephone_number": "740-983-1936",
            "fax_number": "740-474-4941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 S COURT ST",
            "address_2": "SUITE A",
            "city": "CIRCLEVILLE",
            "state": "OH",
            "postal_code": "431132143",
            "telephone_number": "740-474-2921",
            "fax_number": "740-474-4941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUMPENBERGER",
        "first_name": "STEPHEN",
        "middle_name": "GARY",
        "name_prefix": "Dr.",
        "credential": "D.C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-10",
        "last_updated": "2007-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "3313",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM CIRCLEVILLE",
            "identifier": "000000384125",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2347151",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM WILMINGTON",
            "identifier": "000000385990",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MCR",
            "identifier": "DD214",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARESOURCE",
            "identifier": "030554726027",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7871398",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEVE",
            "last_name": "GUMPENBERGER",
            "middle_name": "GARY",
            "prefix": "DR.",
            "credential": "D.C",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Circleville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2007; 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.