Gauer Chiropractic Clinic PA

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

23794635 Issued in MN

Legal business name

GAUER CHIROPRACTIC CLINIC PA

Practice address

1706 East Tenth Street
Gauer Chiropractic Clinic
Glenoce, MN 55336

Phone

(320) 864-3196

Fax

(320) 864-3197

NPI assigned

Dec 14, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Scott Paul Gauer, DCNPI 1487716726

Title

Clinic Owner

Phone

(320) 864-3196

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Scott Paul Gauer, DC

  • Chiropractor
  • Glencoe, MN
  • NPI 1487716726

  MN

  Medicare reassignment Care Compare group Authorized official
• Randy Robert Johnson, DC

  • Chiropractor
  • Glencoe, MN
  • NPI 1124180450

  MN

  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1821150178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1706 EAST TENTH STREET",
            "address_2": "GAUER CHIROPRACTIC CLINIC",
            "city": "GLENOCE",
            "state": "MN",
            "postal_code": "55336",
            "telephone_number": "320-864-3196",
            "fax_number": "320-864-3197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1706 EAST TENTH STREET",
            "address_2": "GAUER CHIROPRACTIC CLINIC",
            "city": "GLENOCE",
            "state": "MN",
            "postal_code": "55336",
            "telephone_number": "320-864-3196",
            "fax_number": "320-864-3197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GAUER CHIROPRACTIC CLINIC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GAUER",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "CLINIC OWNER",
        "authorized_official_telephone_number": "320-864-3196",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "23794635",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "59160GA",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.