Active NPI
Skylar Gemmer, D.C.
- Chiropractor
- Auburn, WA
National Provider Identifier
1588892145
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH60089456
- Practice address
- 1101 Super Mall Way Ste 1269
Auburn, WA 98001-6535 - Phone
- (253) 269-0261
- Fax
- (253) 269-0202
- NPI assigned
- Jun 22, 2009
- Last updated
- Jun 23, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CH60089456 | WA | Primary |
Addresses
Primary practice location
1101 Super Mall Way Ste 1269
Auburn, WA 98001-6535
Mailing address
1101 Super Mall Way Ste 1269
Auburn, WA 98001-6535
Phone (253) 269-0261
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Life Chiropractic College - West, 2009
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
1118 Outlet Collection Way SW
Suite 101
Auburn, WA 98001-6569
Phone (253) 269-0261
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1245628800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1245715200000",
"number": "1588892145",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1101 SUPER MALL WAY STE 1269",
"city": "AUBURN",
"state": "WA",
"postal_code": "980016535",
"telephone_number": "253-269-0261",
"fax_number": "253-269-0202"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1101 SUPER MALL WAY STE 1269",
"city": "AUBURN",
"state": "WA",
"postal_code": "980016535",
"telephone_number": "253-269-0261",
"fax_number": "253-269-0202"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GEMMER",
"first_name": "SKYLAR",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-06-22",
"last_updated": "2009-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WA",
"license": "CH60089456",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Auburn, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.