Colton Ross Gervais

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

F1-0011057 Issued in DE

Practice address

222 S Dupont Hwy
Dover, DE 19901-3797

Phone

(302) 744-8650

NPI assigned

Aug 9, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DE

Enrollment records 1

Specialty

Chiropractic

Education

Logan College of Chiropractic, 2021

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Delaware Integrative Healthcare LLC

  • General Practice Physician
  • Middletown, DE
  • NPI 1225500093

  Chiropractor

  Medicare reassignment NPD
• Dover Chiropractic and Rehabilitation, Inc.

  • Rehabilitation Chiropractor
  • Dover, DE
  • NPI 1053835926
  Medicare reassignment NPD
• Renu Chiropractic, LLC

  • Chiropractor
  • Newark, DE
  • NPI 1083950778
  Medicare reassignment NPD
• Delaware Integrative Healthcare, LLC

  • General Practice Physician
  • Milford, DE
  • NPI 1174297386
  NPD

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

{
    "created_epoch": "1628467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628467200000",
    "number": "1710652185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 TOLLHOUSE PL APT 104G",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199049777",
            "telephone_number": "207-899-9417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 S DUPONT HWY",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199013797",
            "telephone_number": "302-744-8650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERVAIS",
        "first_name": "COLTON",
        "middle_name": "ROSS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-08-09",
        "last_updated": "2021-08-09",
        "certification_date": "2021-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "DE",
            "license": "F1-0011057",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Generations Home Care Inc
• Genesis Healthcare
• Genesis Integrative Mental Health
• Bridgette Katrice George, LCSW
• Fady J Gerges, MD
• GF Sales, Inc.
• Nessreen Ghanem, DO
• Padideh Ghorbani, MD
• GHR Corp
• Mohamad Ayman Ghraowi, MD

• Chiropractor in Dover, DE
• Providers in Dover, DE by specialty
• Chiropractor in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2021; 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.