Ikjot Gill, D.C

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH61122945 Issued in WA

Practice address

451 W Pole Rd
Lynden, WA 98264-9660

Phone

(360) 961-4361

NPI assigned

Jan 23, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Specialty

Chiropractic

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Chiro One Wellness Center of Renton PLLCGroup PAC ID 4385095900, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Networks

• devoted network organization-83621310-88c0-4660-8f8d-b8ea8f4dc04e
• WA PPO C-SNP

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.

• Chiro One Wellness Center of Renton PLLC

  • Chiropractor
  • Renton, WA
  • NPI 1336914571
  Care Compare group
• Lake Union Wellness, PS

  • Chiropractor
  • Seattle, WA
  • NPI 1639647654
  NPD (past)
• Petett Chiropractic Clinic, Inc.

  • Medical Specialty Clinic/Center
  • Renton, WA
  • NPI 1568640324
  NPD (past)

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

{
    "created_epoch": "1674432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674432000000",
    "number": "1023723129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "451 W POLE RD",
            "city": "LYNDEN",
            "state": "WA",
            "postal_code": "982649660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "451 W POLE RD",
            "city": "LYNDEN",
            "state": "WA",
            "postal_code": "982649660",
            "telephone_number": "360-961-4361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILL",
        "first_name": "IKJOT",
        "credential": "D.C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-23",
        "last_updated": "2023-01-23",
        "certification_date": "2023-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH61122945",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathryn Marie Fisher, LMP
• Michael A Fleming, PA-C
• Joy Friesen
• G. D. McClendon DMD PLLC
• Deborah Gaudette
• Yuanita Gitamara
• Global Atlas PLLC
• Karen M Goodman, ARNP
• David Michael Grambo, DPT
• Mary Catherine Green, LM, CPM

• Chiropractor in Lynden, WA
• Providers in Lynden, WA by specialty
• Chiropractor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.