Robb J Gottenborg, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

610 Issued in ND

Practice address

817 Lincoln Ave
Harvey, ND 58341-1521

Phone

(701) 324-2262

Fax

(701) 324-2299

NPI assigned

Apr 23, 2007

Last updated

Apr 5, 2012By 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 1

Medicare fee-for-service enrollment

Enrolled in ND

Enrollment records 1

Specialty

Chiropractic

Education

Northwestern College of Chiropractic, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/95143858-4077-4cf1-b5d2-c2a999f62bb3/

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.

• Dakota Plains Chiropractic, PC

  • Chiropractor
  • Harvey, ND
  • NPI 1427277839
  Medicare reassignment NPD Authorized official
• Dakota Plains Chiropractic, PC

  • Chiropractor
  • Garrison, ND
  • NPI 1023225018
  NPD Authorized official
• Mobridge Regional Hospital

  dba Selby Medical Clinic

  • Rural Health Clinic/Center
  • Selby, SD
  • NPI 1093335333
  NPD (past)
• Mobridge Regional Hospital

  dba West Dakota Health Center

  • Rural Health Clinic/Center
  • Timber Lake, SD
  • NPI 1841267341
  NPD (past)

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1333584000000",
    "number": "1568680429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "817 LINCOLN AVE",
            "city": "HARVEY",
            "state": "ND",
            "postal_code": "583411521",
            "telephone_number": "701-324-2262",
            "fax_number": "701-324-2299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "817 LINCOLN AVE",
            "city": "HARVEY",
            "state": "ND",
            "postal_code": "583411521",
            "telephone_number": "701-324-2262",
            "fax_number": "701-324-2299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOTTENBORG",
        "first_name": "ROBB",
        "middle_name": "J",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-23",
        "last_updated": "2012-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ND",
            "license": "610",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "14699",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Family Care Clinic, PC
• Glenna Faul, CNA
• Amy Jo Felchle, D.C.
• Brenda Jean Finley
• Genevieve E. Weber (Weber Chiropractic Clinic)
• Erin K Hagemeister, NP
• Delvin Lee Hansen, DDS
• Harvey Ambulance Service, Inc.
• Harvey Clinic, PC
• Harvey Dental Clinic PC

• Chiropractor in Harvey, ND
• Providers in Harvey, ND by specialty
• Chiropractor in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2012; 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.