Gerald Milton Waswick I, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

475 Issued in ND

Practice address

10 North Main Street
Gwinner, ND 58040-0147

Phone

(701) 678-2431

Fax

(701) 678-2431

NPI assigned

Dec 19, 2006

Sex

Male

Sole proprietor

Yes

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

Palmer College Chiropractic - Davenport, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Waswick Chiropractic

  • Chiropractor
  • Gwinner, ND
  • NPI 1235375049
  NPD (past) Authorized official

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1629131891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 NORTH MAIN STREET BOX 147",
            "city": "GWINNER",
            "state": "ND",
            "postal_code": "580400147",
            "telephone_number": "701-678-2431",
            "fax_number": "701-678-2431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 NORTH MAIN STREET",
            "city": "GWINNER",
            "state": "ND",
            "postal_code": "580400147",
            "telephone_number": "701-678-2431",
            "fax_number": "701-678-2431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WASWICK",
        "first_name": "GERALD",
        "middle_name": "MILTON",
        "name_prefix": "Dr.",
        "name_suffix": "I",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ND",
            "license": "475",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "17793",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sanford Clinic North
• Miranda Serebin, APRN
• Paul Shanenko, DPT
• Southeast Therapy Services Inc
• Waswick Chiropractic

• All providers in Gwinner, ND
• Chiropractor in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.