Active NPI
Active Relief Chiropractic PLLC
- Chiropractor
- Helena, MT
National Provider Identifier
1649412172
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1129
- Legal business name
- ACTIVE RELIEF CHIROPRACTIC PLLC
- Practice address
- 830 Front St
Suite B
Helena, MT 59601-3309 - Phone
- (406) 443-3899
- Fax
- (406) 443-2962
- NPI assigned
- Mar 30, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Kammeron Elske Gersbach, D.C.
- Title
- Owner
- Phone
- (406) 443-3899
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 1129 | MT | Primary |
Addresses
Primary practice location
830 Front St
Suite B
Helena, MT 59601-3309
Mailing address
830 Front St
Suite B
Helena, MT 59601-3309
Phone (406) 443-3899
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MT
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20091117000447 | MT | Part B Supplier - Clinic/Group Practice | 2567500200 |
Receives reassigned benefits from 1 practitioner Practice locations: Helena, MT |
National Provider Directory
National Provider DirectoryLocations
921 Euclid Ave
Helena, MT 59601
Phone (406) 443-3899
830 Front St
Ste B
Helena, MT 59601
Phone (406) 443-3899
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Helena, MT
- NPI 1538399258
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1238371200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1238371200000",
"number": "1649412172",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "830 FRONT ST",
"address_2": "SUITE B",
"city": "HELENA",
"state": "MT",
"postal_code": "596013309",
"telephone_number": "406-443-3899",
"fax_number": "406-443-2962"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "830 FRONT ST",
"address_2": "SUITE B",
"city": "HELENA",
"state": "MT",
"postal_code": "596013309",
"telephone_number": "406-443-3899",
"fax_number": "406-443-2962"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ACTIVE RELIEF CHIROPRACTIC PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2009-03-30",
"last_updated": "2009-03-30",
"status": "A",
"authorized_official_last_name": "GERSBACH",
"authorized_official_first_name": "KAMMERON",
"authorized_official_middle_name": "ELSKE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "406-443-3899",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "MT",
"license": "1129",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Helena, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2009; 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.