Active NPI
John Blake Gilmore, D.C.
- Chiropractor
- Pensacola, FL
National Provider Identifier
1003985227
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH9324
- Practice address
- 1759 Creighton Rd # B
Pensacola, FL 32504-7145 - Phone
- (850) 473-6767
- Fax
- (850) 473-6768
- NPI assigned
- Nov 6, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC-30080 | CA | |
| Chiropractor | 111N00000X | CH9324 | FL | Primary |
Addresses
Primary practice location
1759 Creighton Rd # B
Pensacola, FL 32504-7145
Mailing address
1759 Creighton Rd
Ste B
Pensacola, FL 32504-7145
Phone (850) 473-6767
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1759 Creighton Rd
B
Pensacola, FL 32504-7145
Phone (850) 473-6767
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC-30080 | CA | MD | Chiropractor |
| CH9324 | FL | MD | Chiropractor |
Practice roles (1 of 11)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gilmore Chiropractic PA | Chiropractor | Current | Accepting new patients |
Locations
1759 Creighton Rd
#B
Pensacola, FL 32504
Phone (850) 473-6767
Networks
- FL HMO D-SNP
- FL HMO
- devoted network organization-25ba88d3-d0a6-4213-84f1-eef6f2b59f68
- devoted network organization-0f7f8d4f-1035-4992-8c02-dc86d12e700e
- FL HMO C-SNP
- devoted network organization-d5084670-562f-408b-b100-22a1a4ef4d82
- AL HMO
- devoted network organization-14bfd35d-d818-4696-813b-340339e464ef
- AL HMO D-SNP
- FL PPO
Organizations & group practices 1
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.
-
- Chiropractor
- Pensacola, FL
- NPI 1437357902
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162771200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1427241600000",
"number": "1003985227",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1759 CREIGHTON RD",
"address_2": "STE B",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325047145",
"telephone_number": "850-473-6767",
"fax_number": "850-473-6768"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1759 CREIGHTON RD # B",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325047145",
"telephone_number": "850-473-6767",
"fax_number": "850-473-6768"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GILMORE",
"first_name": "JOHN",
"middle_name": "BLAKE",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-06",
"last_updated": "2015-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "DC-30080",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "FL",
"license": "CH9324",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pensacola, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2015; 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.