Organization Active NPI

Gillfillan Chiropractic LLC

  • Chiropractor
  • Ada, OH
National Provider Identifier
1003150491
Registry record updated Apr 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4321 Issued in OH
Legal business name
GILLFILLAN CHIROPRACTIC LLC
Practice address
955 S Main St
Ada, OH 45810-2615
Phone
(419) 634-4856
NPI assigned
Nov 26, 2012
Last updated
Apr 20, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2017

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

Authorized official

Name
Todd Gillfillan, D.C.NPI 1396098695
Title
Sole Member
Phone
(419) 634-4856

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)CodeLicenseStatePrimary
Chiropractor 111N00000X 4321 OH Primary

Addresses

Primary practice location

955 S Main St
Ada, OH 45810-2615

Mailing address

955 S Main St
Ada, OH 45810-2615
Phone (419) 634-4856

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130117000390 OH Part B Supplier - Clinic/Group Practice 8325291602 Receives reassigned benefits from 2 practitioners
Practice locations: Ada, OH

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1353888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492646400000",
    "number": "1003150491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "955 S MAIN ST",
            "city": "ADA",
            "state": "OH",
            "postal_code": "458102615",
            "telephone_number": "419-634-4856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "955 S MAIN ST",
            "city": "ADA",
            "state": "OH",
            "postal_code": "458102615",
            "telephone_number": "419-634-4856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GILLFILLAN CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-26",
        "last_updated": "2017-04-20",
        "status": "A",
        "authorized_official_last_name": "GILLFILLAN",
        "authorized_official_first_name": "TODD",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "419-634-4856",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "4321",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ada, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2017; 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.

Verify at the official NPI Registry.