Organization Active NPI

Active Relief Chiropractic PLLC

  • Chiropractor
  • Helena, MT
National Provider Identifier
1649412172
Registry record updated Mar 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1129 Issued in MT
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

Updated by the provider on Mar 30, 2009

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.NPI 1942303011
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)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 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 IDStateProvider typePAC IDDetails
O20091117000447 MT Part B Supplier - Clinic/Group Practice 2567500200 Receives reassigned benefits from 1 practitioner
Practice locations: Helena, MT

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.