NPIMap

Organization Active NPI

Gunlogson Family Chiropractic, P.a.

Doing business as Cornerstone Chiropractic Health Partners

  • Chiropractor
  • Montevideo, MN
National Provider Identifier
1821151150
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4692 Issued in MN
Legal business name
GUNLOGSON FAMILY CHIROPRACTIC, P.A.
Doing business as
Cornerstone Chiropractic Health Partners
Practice address
519 S 1St St
Montevideo, MN 56265-2103
Phone
(320) 269-3211
Fax
(320) 269-9465
NPI assigned
Dec 18, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Samuel M Gunlogson, D.C.NPI 1265441968
Title
Owner
Phone
(320) 269-3211

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X 4692 MN Primary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X 4741 MN

Addresses

Primary practice location

519 S 1St St
Montevideo, MN 56265-2103

Mailing address

519 S 1St St
Montevideo, MN 56265-2103
Phone (320) 269-3211

Other identifiers 1

IdentifierTypeStateIssuer
193G8COOtherMNGROUP NUMBER

Other names 1

  • Cornerstone Chiropractic Health Partners Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051024000717 MN Part B Supplier - Clinic/Group Practice 7416973995 Receives reassigned benefits from 2 practitioners
Practice locations: Montevideo, MN

National Provider Directory

National Provider Directory

Locations

519 S 1st St
Montevideo, MN 56265
Phone (320) 269-3211

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1821151150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "519 S 1ST ST",
            "city": "MONTEVIDEO",
            "state": "MN",
            "postal_code": "562652103",
            "telephone_number": "320-269-3211",
            "fax_number": "320-269-9465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "519 S 1ST ST",
            "city": "MONTEVIDEO",
            "state": "MN",
            "postal_code": "562652103",
            "telephone_number": "320-269-3211",
            "fax_number": "320-269-9465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUNLOGSON FAMILY CHIROPRACTIC, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GUNLOGSON",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "320-269-3211",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "4692",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "4741",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NUMBER",
            "identifier": "193G8CO",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cornerstone Chiropractic Health Partners",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Montevideo, MN

Sources for this page

  • 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.