Active NPI
Gaston Family Chiropractic LLC
- Chiropractor
- Traverse City, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2301006073
- Legal business name
- GASTON FAMILY CHIROPRACTIC LLC
- Practice address
- 625 2ND St
Traverse City, MI 49684-2220 - Phone
- (231) 922-5060
- Fax
- (231) 922-5062
- NPI assigned
- Apr 3, 2007
- Last updated
- May 2, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Robert W Gaston, D.C.
- Title
- Owner
- Phone
- (231) 922-5060
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2301006073 | MI | Primary |
Addresses
Primary practice location
625 2ND St
Traverse City, MI 49684-2220
Mailing address
625 2ND St
Traverse City, MI 49684-2220
Phone (231) 922-5060
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0B81220 | Other | MI | BLUE CROSS BLUE SHIELD OF MICHIGAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
108 Northland Plaza Rd
Kalkaska, MI 49646
Phone (231) 258-9874
13919 S West Bay Shore Dr
Ste G01
Traverse City, MI 49684
Phone (231) 929-7450
625 Second St
Traverse City, MI 49684
Phone (231) 922-5060
Practitioners & affiliated clinicians
Practitioners 5
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.
-
- Chiropractor
- Traverse City, MI
- NPI 1518961499
-
- Chiropractor
- Grand Rapids, MI
- NPI 1194015065
-
- Chiropractor
- Farmington Hills, MI
- NPI 1851918858
-
- Chiropractor
- Traverse City, MI
- NPI 1205953395
-
- Chiropractor
- Kalkaska, MI
- NPI 1568622041
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175558400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1209686400000",
"number": "1912028200",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "625 2ND ST",
"city": "TRAVERSE CITY",
"state": "MI",
"postal_code": "496842220",
"telephone_number": "231-922-5060",
"fax_number": "231-922-5062"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "625 2ND ST",
"city": "TRAVERSE CITY",
"state": "MI",
"postal_code": "496842220",
"telephone_number": "231-922-5060",
"fax_number": "231-922-5062"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GASTON FAMILY CHIROPRACTIC LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-03",
"last_updated": "2008-05-02",
"status": "A",
"authorized_official_last_name": "GASTON",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "W",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "231-922-5060",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "MI",
"license": "2301006073",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD OF MICHIGAN",
"identifier": "0B81220",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Traverse City, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2008; 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.