Clint Jason Gosse, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4321-012 Issued in WI

Practice address

208 W Cedar St
Spencer, WI 54479

Phone

(715) 659-4411

Fax

(715) 659-4414

NPI assigned

Jun 29, 2007

Last updated

Feb 11, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Gosse Chiropractic LLC

  • Chiropractor
  • Spencer, WI
  • NPI 1740489228
  Authorized official Same address or phone

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

{
    "created_epoch": "1183075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581379200000",
    "number": "1821295205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 W CEDAR ST",
            "city": "SPENCER",
            "state": "WI",
            "postal_code": "544794400",
            "telephone_number": "715-659-4411",
            "fax_number": "715-659-4414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 W CEDAR ST",
            "city": "SPENCER",
            "state": "WI",
            "postal_code": "54479",
            "telephone_number": "715-659-4411",
            "fax_number": "715-659-4414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOSSE",
        "first_name": "CLINT",
        "middle_name": "JASON",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-29",
        "last_updated": "2020-02-11",
        "certification_date": "2020-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "4321-012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristen Ann Becker, RN
• Melissa Mae Delo, RN
• Gosse Chiropractic LLC
• Alison E Heintz, MSAT
• Lisa Mae Lehman, COTA
• Carolyn Lewis
• Kris A.. Meinders, R.N.
• Susan Ann Mueller, R.N.

• Chiropractor in Spencer, WI
• Providers in Spencer, WI by specialty
• Chiropractor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2020; 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.