Individual provider Active NPI

Oakland Lawrence Gaerke, D.C.

  • Chiropractor
  • Portland, IN
National Provider Identifier
1932203379
Registry record updated Apr 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
08002146A Issued in IN
Practice address
609 N. Charles St.
Portland, IN 47371-3011
Phone
(260) 726-3065
Fax
(260) 726-3406
NPI assigned
Sep 7, 2006
Last updated
Apr 6, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 08002146A IN Primary

Addresses

Primary practice location

609 N. Charles St.
Portland, IN 47371-3011

Mailing address

609 N. Charles St.
Portland, IN 47371-3011
Phone (260) 726-3065

Other identifiers 1

IdentifierTypeStateIssuer
200480160BMedicaidIN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041117000384 IN Practitioner - Chiropractic 9335112697 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 2004
Medicare assignment
May accept Medicare assignment
Group practices
Clear Chiropractic Granger LLCGroup PAC ID 2264880392, 2 clinicians
Clear Chiropractic Indiana LLCGroup PAC ID 1658428271, 4 clinicians

Practice addresses (Care Compare)

1085 N Main St
Suite a
Bluffton, IN 46714-1378
Phone (260) 353-1400

1501 N Walnut St
Hartford City, IN 47348-1343
Phone (765) 329-5044

360 N Main St
Suite a
Bluffton, IN 46714-2041

609 N Charles St
Portland, IN 47371-3011
Phone (260) 726-3065

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
08002146AINMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Clear Chiropractic Columbus, LLC Chiropractor CurrentSince Jul 11, 2023 Accepting new patients
Clear Chiropractic Granger, LLC Chiropractor CurrentSince Jan 1, 2025 Accepting new patients
Clear Chiropractic Hartford City, LLC Chiropractor PastSince Mar 20, 2018 Accepting new patients
Major Hospital Past Accepting new patients
Clear Chiropractic Marion LLC Chiropractor PastSince Jun 25, 2020 Accepting new patients
Back to Health, LLC Chiropractor Past Accepting new patients
Clear Chiropractic, P.C. Chiropractor Past Accepting new patients
Clear Chiropractic Berne, LLC Chiropractor PastSince Mar 19, 2025 Accepting new patients
Bultemeyer Chiropractic, LLC Chiropractor PastSince Jan 9, 2015 Accepting new patients
Clear Chiropractic Shelbyville LLC Chiropractor PastSince Jan 15, 2023 Accepting new patients

Locations

1085 N Main St
Ste A
Bluffton, IN 46714
Phone (260) 353-1400

360 N Main St
Ste A
Bluffton, IN 46714
Phone (260) 353-1400

3623 25th St
Columbus, IN 47203
Phone (260) 726-3065

406 W Votaw St
Portland, IN 47371
Phone (260) 726-3065

609 N Charles St
Portland, IN 47371
Phone (260) 726-3065

Organizations & group practices 12

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": "1157587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649203200000",
    "number": "1932203379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "609 N. CHARLES ST.",
            "city": "PORTLAND",
            "state": "IN",
            "postal_code": "473713011",
            "telephone_number": "260-726-3065",
            "fax_number": "260-726-3406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 N. CHARLES ST.",
            "city": "PORTLAND",
            "state": "IN",
            "postal_code": "473713011",
            "telephone_number": "260-726-3065",
            "fax_number": "260-726-3406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAERKE",
        "first_name": "OAKLAND",
        "middle_name": "LAWRENCE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-07",
        "last_updated": "2022-04-06",
        "certification_date": "2022-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08002146A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200480160B",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2022; 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.