Gerald G Elsner, D.C

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

7588 Issued in AR

Practice address

3105 NE 11TH St
Suite 3
Bentonville, AR 72712-9102

Phone

(479) 254-1177

Fax

(479) 254-1193

NPI assigned

Jun 10, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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

• Munson Chiropractic

  • Chiropractor
  • Bentonville, AR
  • NPI 1518160076
  NPD (past)

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

{
    "created_epoch": "1149897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1962444695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3105 NE 11TH ST",
            "address_2": "SUITE 3",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727129102",
            "telephone_number": "479-254-1177",
            "fax_number": "479-254-1193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3105 NE 11TH ST",
            "address_2": "SUITE 3",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727129102",
            "telephone_number": "479-254-1177",
            "fax_number": "479-254-1193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELSNER",
        "first_name": "GERALD",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "D.C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AR",
            "license": "7588",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER ID#",
            "identifier": "5X248",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Bentonville, AR
• Providers in Bentonville, AR by specialty
• Chiropractor in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.