Organization Active NPI

Gauthier Chiropractic Clinic, P. C.

  • Chiropractor
  • Parkville, MO
National Provider Identifier
1679610299
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5696 Issued in MO
Legal business name
GAUTHIER CHIROPRACTIC CLINIC, P. C.
Practice address
6008 N State Route 9
Suite a
Parkville, MO 64152-3549
Phone
(816) 741-9232
Fax
(816) 741-3118
NPI assigned
Jan 31, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Anne-Laure Gauthier, D.C.NPI 1700859675
Title
Vice President
Phone
(816) 741-9232

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 5696 MO Primary

Addresses

Primary practice location

6008 N State Route 9
Suite a
Parkville, MO 64152-3549

Mailing address

6008 N State Route 9
Suite a
Parkville, MO 64152-3549
Phone (816) 741-9232

Other names 1

  • Gauthier Chiropractic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101015000533 MO Part B Supplier - Clinic/Group Practice 2769675339 Receives reassigned benefits from 2 practitioners
Practice locations: Parkville, MO

National Provider Directory

National Provider Directory

Locations

6008 N State Route 9
Ste A
Parkville, MO 64152
Phone (816) 741-9232

Practitioners & affiliated clinicians

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": "1170201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1679610299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6008 N STATE ROUTE 9",
            "address_2": "SUITE A",
            "city": "PARKVILLE",
            "state": "MO",
            "postal_code": "641523549",
            "telephone_number": "816-741-9232",
            "fax_number": "816-741-3118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6008 N STATE ROUTE 9",
            "address_2": "SUITE A",
            "city": "PARKVILLE",
            "state": "MO",
            "postal_code": "641523549",
            "telephone_number": "816-741-9232",
            "fax_number": "816-741-3118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GAUTHIER CHIROPRACTIC CLINIC, P. C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GAUTHIER",
        "authorized_official_first_name": "ANNE-LAURE",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "816-741-9232",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "5696",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gauthier Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Parkville, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.