Active NPI
Gerald E. Gomm, D.C.
- Chiropractor
- Kaukauna, WI
National Provider Identifier
1730221250
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 3500-12
- 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, 2026
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 3500-12 | WI | MD | Chiropractor |
| 350012 | WI | MD | Chiropractor |
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.