Individual provider Active NPI

Charmin L Gans, D.C.

  • Chiropractor
  • Crystal City, MO
National Provider Identifier
1841218203
Registry record updated Oct 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
200153526 Issued in MO
Practice address
508 N Truman Blvd
Crystal City, MO 63019-1344
Phone
(636) 937-4600
NPI assigned
Jul 17, 2006
Last updated
Oct 7, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 200153526 MO Primary

Addresses

Primary practice location

508 N Truman Blvd
Crystal City, MO 63019-1344

Mailing address

508 N Truman Blvd
Crystal City, MO 63019-1344
Phone (636) 937-4600

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101015000688 MO Practitioner - Chiropractic 3971796558 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healing Hands Chiropractic PCGroup PAC ID 2163615733, 2 clinicians

Practice addresses (Care Compare)

1185 Scenic Dr
Suite 141
Herculaneum, MO 63048-1433
Phone (636) 479-6700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
200153526MOMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Healing Hands Chiropractic PC Chiropractor CurrentSince Apr 15, 2000 Accepting new patients

Locations

1185 Scenic Dr
Ste 14
Herculaneum, MO 63048
Phone (636) 479-6700

1185 Scenic Dr
Ste 141
Herculaneum, MO 63048
Phone (636) 479-6700

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1286409600000",
    "number": "1841218203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "508 N TRUMAN BLVD",
            "city": "CRYSTAL CITY",
            "state": "MO",
            "postal_code": "630191344",
            "telephone_number": "636-937-4600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "508 N TRUMAN BLVD",
            "city": "CRYSTAL CITY",
            "state": "MO",
            "postal_code": "630191344",
            "telephone_number": "636-937-4600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GANS",
        "first_name": "CHARMIN",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-17",
        "last_updated": "2010-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "200153526",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crystal City, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2010; 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.

Verify at the official NPI Registry.