Individual provider Active NPI

Chad S Gill, D.C.

  • Chiropractor
  • Wellington, KS
National Provider Identifier
1013012673
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4745 Issued in KS
Practice address
1021 E 16TH St
Wellington, KS 67152-2812
Phone
(620) 399-9355
Fax
(620) 399-8917
NPI assigned
Sep 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4745 KS Primary

Addresses

Primary practice location

1021 E 16TH St
Wellington, KS 67152-2812

Mailing address

1021 E 16TH St
Wellington, KS 67152-2812
Phone (620) 399-9355

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050317000397 KS Practitioner - Chiropractic 8527013119 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Cleveland Chiropractic College - Kansas City, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1015 E 16TH St
Suite 2
Wellington, KS 67152-2812
Phone (620) 399-9355

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4745KSMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Gill Chiropractic Health Center, PA Chiropractor CurrentSince Jan 1, 2005 Accepting new patients

Locations

1015 E 16th St
Ste 2
Wellington, KS 67152
Phone (620) 399-9355

1021 E 16th St
Wellington, KS 67152
Phone (620) 399-9355

1015 E 16th St
Wellington, KS 67152
Phone (620) 326-5751

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.

NPI Registry JSON

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1013012673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1021 E 16TH ST",
            "city": "WELLINGTON",
            "state": "KS",
            "postal_code": "671522812",
            "telephone_number": "620-399-9355",
            "fax_number": "620-399-8917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1021 E 16TH ST",
            "city": "WELLINGTON",
            "state": "KS",
            "postal_code": "671522812",
            "telephone_number": "620-399-9355",
            "fax_number": "620-399-8917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILL",
        "first_name": "CHAD",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KS",
            "license": "4745",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wellington, KS

Sources for this page

  • 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.
  • 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.

Verify at the official NPI Registry.