Lane N Gunnerson, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3335 Issued in MN

Practice address

1325 NW 4TH St # 200
Grand Rapids, MN 55744-2209

Phone

(218) 326-4022

NPI assigned

Jul 20, 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 3

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Specialty

Chiropractic

Education

Northwestern College of Chiropractic, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Gunnerson Chiropractic Inc.

  • Chiropractor
  • Grand Rapids, MN
  • NPI 1316038680
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375315200000",
    "number": "1689694044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1325 NW 4TH ST # 200",
            "city": "GRAND RAPIDS",
            "state": "MN",
            "postal_code": "557442209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 NW 4TH ST # 200",
            "city": "GRAND RAPIDS",
            "state": "MN",
            "postal_code": "557442209",
            "telephone_number": "218-326-4022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUNNERSON",
        "first_name": "LANE",
        "middle_name": "N",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-20",
        "last_updated": "2013-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "3335",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "4C807GU",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "350052380",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "281827200",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Guardian Flight LLC
• Guardian Flight LLC
• Cristina Inez McLean Guimaraes, PHARMD
• Angela M Gunderson, OTR/L
• Gunnerson Chiropractic Inc.
• Natalie Jane Gustafson, NP
• Bruce Haag, LADC
• Theresa Louise Hachey, LADC
• Kristina Anne Haden, APRN, CNP
• Lindsey Hagen, LADC

• Chiropractor in Grand Rapids, MN
• Providers in Grand Rapids, MN by specialty
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2013; 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.