Individual provider Active NPI

Gerald E. Gomm, D.C.

  • Chiropractor
  • Kaukauna, WI
National Provider Identifier
1730221250
Registry record updated Feb 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3500-12 Issued in WI
Practice address
208 E 2ND Street
Suite F
Kaukauna, WI 54130
Phone
(920) 766-7118
Fax
(920) 462-7117
NPI assigned
Feb 12, 2007
Last updated
Feb 3, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 3, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 350012 WI
Chiropractor 111N00000X 3500-12 WI Primary

Addresses

Primary practice location

208 E 2ND Street
Suite F
Kaukauna, WI 54130

Mailing address

208 E 2ND Street
Suite F
Kaukauna, WI 54130
Phone (920) 766-7118

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120608000256 WI Practitioner - Chiropractic 3274797964 Practice locations: Kaukauna, WI

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

111 Plank Rd
Apt 130
Kaukauna, WI 54130-1602
Phone (920) 766-7118

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3500-12WIMDChiropractor
350012WIMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770076800000",
    "number": "1730221250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 E 2ND STREET",
            "address_2": "SUITE F",
            "city": "KAUKAUNA",
            "state": "WI",
            "postal_code": "54130",
            "telephone_number": "920-766-7118",
            "fax_number": "920-462-7117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 E 2ND STREET",
            "address_2": "SUITE F",
            "city": "KAUKAUNA",
            "state": "WI",
            "postal_code": "54130",
            "telephone_number": "920-766-7118",
            "fax_number": "920-462-7117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOMM",
        "first_name": "GERALD",
        "middle_name": "E.",
        "name_prefix": "Mr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-12",
        "last_updated": "2026-02-03",
        "certification_date": "2026-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "350012",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "3500-12",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kaukauna, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2026; 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.