Organization Active NPI

Glenn F. Gumaer, DC, LLC

  • Chiropractor
  • Medford, OR
National Provider Identifier
1679962054
Registry record updated Jan 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2941 Issued in OR
Legal business name
GLENN F. GUMAER, DC, LLC
Practice address
3190 State St
Ste 101
Medford, OR 97504-8497
Phone
(541) 770-1330
Fax
(541) 772-4228
NPI assigned
Jan 22, 2015
Last updated
Jan 22, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2015

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

Authorized official

Name
Dr. Glenn F. Gumaer, DCNPI 1225059348
Title
Owner
Phone
(541) 770-1330

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 2941 OR Primary

Addresses

Primary practice location

3190 State St
Ste 101
Medford, OR 97504-8497

Mailing address

3190 State St
Ste 101
Medford, OR 97504-8497
Phone (541) 770-1330

Other identifiers 1

IdentifierTypeStateIssuer
226598MedicaidOR

National Provider Directory

National Provider Directory

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": "1421884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421884800000",
    "number": "1679962054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3190 STATE ST",
            "address_2": "STE 101",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975048497",
            "telephone_number": "541-770-1330",
            "fax_number": "541-772-4228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3190 STATE ST",
            "address_2": "STE 101",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975048497",
            "telephone_number": "541-770-1330",
            "fax_number": "541-772-4228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLENN F. GUMAER, DC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-22",
        "last_updated": "2015-01-22",
        "status": "A",
        "authorized_official_last_name": "GUMAER",
        "authorized_official_first_name": "GLENN",
        "authorized_official_middle_name": "F.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-770-1330",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "2941",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "226598",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Medford, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.