Gillis Family Chiropractic Inc.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2301008777 Issued in MI

Legal business name

GILLIS FAMILY CHIROPRACTIC INC.

Practice address

5675 Burlingame Ave.
Suite a
Wyoming, MI 49509-9702

Phone

(616) 538-2200

Fax

(616) 301-0419

NPI assigned

Jan 10, 2011

Last updated

Nov 10, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Benjamin David Gillis, D.C.NPI 1356567358

Title

Owner

Phone

(616) 538-2200

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

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.

• Benjamin David Gillis, DC

  • Chiropractor
  • Wyoming, MI
  • NPI 1356567358
  Medicare reassignment Care Compare group NPD Authorized official
• Adam Greenman, D.C.

  • Chiropractor
  • Wayland, MI
  • NPI 1811069099
  Medicare reassignment Care Compare group NPD
• Paul Alan Kaminski, D.C.

  • Chiropractor
  • Grand Rapids, MI
  • NPI 1760735641
  NPD (past)

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

{
    "created_epoch": "1294617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478736000000",
    "number": "1023312774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5675 BURLINGAME AVE.",
            "address_2": "SUITE A",
            "city": "WYOMING",
            "state": "MI",
            "postal_code": "49509",
            "telephone_number": "616-538-2200",
            "fax_number": "616-301-0419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5675 BURLINGAME AVE.",
            "address_2": "SUITE A",
            "city": "WYOMING",
            "state": "MI",
            "postal_code": "495099702",
            "telephone_number": "616-538-2200",
            "fax_number": "616-301-0419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GILLIS FAMILY CHIROPRACTIC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-10",
        "last_updated": "2016-11-10",
        "status": "A",
        "authorized_official_last_name": "GILLIS",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "616-538-2200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301008777",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Giesler, OTR/L
• Sarah Gilchrist
• Tiffany June Gill, RN
• Jenna Gillespie
• Nancy Gillhespy, LPN
• Benjamin David Gillis, DC
• Izabella Marie Gingerich
• Mary E Gladish, D.C.
• Julie Oljeto Glass, MA, LPC, LMFT
• Victoria Anne Glass

• Chiropractor in Wyoming, MI
• Providers in Wyoming, MI by specialty
• Chiropractor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2016; 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.