Individual provider Active NPI

Rebecca Lynn Gnas, D.C.

  • Chiropractor
  • Wauwatosa, WI
National Provider Identifier
1730512286
Registry record updated Dec 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4931 Issued in WI
Practice address
530 N 108TH PL Ste 100
Wauwatosa, WI 53226-4253
Phone
(414) 510-1263
NPI assigned
Aug 19, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4931-12 WI
Chiropractor 111N00000X 4931 WI Primary

Addresses

Primary practice location

530 N 108TH PL Ste 100
Wauwatosa, WI 53226-4253

Mailing address

1613 S Ranch Rd
New Berlin, WI 53151-1652
Phone (414) 510-1263

Other names 1

  • Rebecca Dutkiewicz Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4931WIMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
McAvoy Chiropractic, LLC Chiropractor CurrentSince Jan 1, 2017 Accepting new patients
Vibrance Family Chiropractic LLC Chiropractor CurrentSince Dec 31, 2023 Accepting new patients

Locations

7000 S 76th St
Franklin, WI 53132
Phone (414) 525-9500

530 N 108th Pl
Ste 100
Wauwatosa, WI 53226
Phone (414) 231-9640

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1376870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703548800000",
    "number": "1730512286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1613 S RANCH RD",
            "city": "NEW BERLIN",
            "state": "WI",
            "postal_code": "531511652",
            "telephone_number": "414-510-1263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 N 108TH PL STE 100",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532264253",
            "telephone_number": "414-510-1263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GNAS",
        "first_name": "REBECCA",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-19",
        "last_updated": "2023-12-26",
        "certification_date": "2023-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "4931-12",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "4931",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REBECCA",
            "last_name": "DUTKIEWICZ",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Wauwatosa, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2023; 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.