Organization Active NPI

Gaumer Chiropractic, LLC

  • Chiropractor
  • Morrison, IL
National Provider Identifier
1609274448
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038-012732 Issued in IL
Legal business name
GAUMER CHIROPRACTIC, LLC
Practice address
125 E Main St
Morrison, IL 61270-2639
Phone
(815) 772-8069
Fax
(815) 772-8084
NPI assigned
Dec 10, 2014
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Eric Gaumer, DCNPI 1538566658
Title
Doctor
Phone
(818) 772-8069

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038-012732 IL Primary

Addresses

Primary practice location

125 E Main St
Morrison, IL 61270-2639

Mailing address

125 E Main St
Morrison, IL 61270-2639
Phone (815) 772-8069

Other practice location 1

3512 E Lincolnway Ste A
Sterling, IL 61081-7622
Phone (815) 632-3675

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150303000232 IL Part B Supplier - Clinic/Group Practice 4385960707 Receives reassigned benefits from 1 practitioner
Practice locations: Sterling, IL; Morrison, IL

National Provider Directory

National Provider Directory

Locations

125 E Main St
Morrison, IL 61270
Phone (815) 772-7641

3512 E Lincolnway
Ste A
Sterling, IL 61081
Phone (815) 632-3675

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1418169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1609274448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 E MAIN ST",
            "city": "MORRISON",
            "state": "IL",
            "postal_code": "612702639",
            "telephone_number": "815-772-8069",
            "fax_number": "815-772-9164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 E MAIN ST",
            "city": "MORRISON",
            "state": "IL",
            "postal_code": "612702639",
            "telephone_number": "815-772-8069",
            "fax_number": "815-772-8084"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3512 E Lincolnway Ste A",
            "address_purpose": "LOCATION",
            "city": "Sterling",
            "state": "IL",
            "postal_code": "610817622",
            "country_code": "US",
            "telephone_number": "815-632-3675",
            "fax_number": "815-716-8441",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GAUMER CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-10",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "GAUMER",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "818-772-8069",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038-012732",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morrison, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.