Gillette Family Chiropractic Clinic

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

672 Issued in ND

Legal business name

GILLETTE FAMILY CHIROPRACTIC CLINIC

Practice address

825 25TH St S
Fargo, ND 58103-8724

Phone

(701) 237-4010

Fax

(701) 237-5150

NPI assigned

Jan 14, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Darrin S Gillette, DC

Title

Owner

Phone

(701) 237-4010

Specialties & licenses 1

Addresses

Other identifiers 3

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

{
    "created_epoch": "1421193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421712000000",
    "number": "1003205030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 25TH ST S",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581038724",
            "telephone_number": "701-237-4010",
            "fax_number": "701-237-5150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 25TH ST S",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581038724",
            "telephone_number": "701-237-4010",
            "fax_number": "701-237-5150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GILLETTE FAMILY CHIROPRACTIC CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-14",
        "last_updated": "2015-01-20",
        "status": "A",
        "authorized_official_last_name": "GILLETTE",
        "authorized_official_first_name": "DARRIN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "701-237-4010",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "ND",
            "license": "672",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "11052",
            "state": "ND"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF MN",
            "identifier": "13D48GI",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF ND",
            "identifier": "GIL18266",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gill Orthodontics Inc
• Jared B Gill, DMD
• Tammy Lynn Gilles, PHARMD
• Keith Allen Gilleshammer, M.ED, LAC
• Mary Christine Gillespie
• Darrin S Gillette, DC
• Kiairra Gilliam
• Eric Gillson
• Gail Gilmore
• Lisa Nicole Gingrey, D. D. S.

• Chiropractor in Fargo, ND
• Providers in Fargo, ND by specialty
• Chiropractor in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2015; 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.