Taner Leon Gimberlin, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

7161 Issued in MN

Practice address

17725 Kenwood TRL Ste 3
Lakeville, MN 55044-9455

Phone

(952) 683-1101

NPI assigned

May 15, 2024

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

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.

• Healthsource of Burnsville, P.a.

  • Clinic/Center
  • Burnsville, MN
  • NPI 1972774073
  NPD (past)
• Starnovus LLC

  • Chiropractor
  • Inver Grove Heights, MN
  • NPI 1639926942
  NPD (past)

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

{
    "created_epoch": "1715731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742169600000",
    "number": "1982453593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1571 ROBERT ST S APT 145",
            "city": "WEST ST PAUL",
            "state": "MN",
            "postal_code": "551184093",
            "telephone_number": "320-368-0449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17725 KENWOOD TRL STE 3",
            "city": "LAKEVILLE",
            "state": "MN",
            "postal_code": "550449455",
            "telephone_number": "952-683-1101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIMBERLIN",
        "first_name": "TANER",
        "middle_name": "LEON",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-05-15",
        "last_updated": "2025-03-17",
        "certification_date": "2025-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "7161",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alyssa Ann Gibbons, PHARMD
• Audrey Gibson
• Brenda Marie Gilbertson, RN
• David Lee Gilbertson, D.O.
• Brooke Elizabeth Giles, DC
• Glacier Lake Dental P a
• James Matthew Glogowski, CRNA
• Halley Rose Gluckman-Fine, PT
• Grace Gonzalez
• Malikye Angelos-Cortez Gordon

• Chiropractor in Lakeville, MN
• Providers in Lakeville, MN by specialty
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2025; 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.