Individual provider Active NPI

Craig Robert Gilling, D.C.

  • Chiropractor
  • Gaylord, MI
National Provider Identifier
1053543017
Registry record updated Dec 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301005823 Issued in MI
Practice address
2682 SW Opal Lake Rd
Gaylord, MI 49735-8792
Phone
(989) 748-4400
NPI assigned
Aug 10, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 6, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2301005823 MI Primary

Addresses

Primary practice location

2682 SW Opal Lake Rd
Gaylord, MI 49735-8792

Mailing address

114 W Main St
Gaylord, MI 49735-2300
Phone (989) 748-4400

Other identifiers 1

IdentifierTypeStateIssuer
0F95008OtherMIBLUE CROSS BLUE SHIELD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040213000310 MI Practitioner - Chiropractic 0547154072 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College - West, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

114 W Main St
Gaylord, MI 49735-2300
Phone (989) 748-4400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2301005823MIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Healthzone Chiropractic 5 PC Chiropractor PastSince Apr 23, 2007 Accepting new patients
TC Chiropractic PC Chiropractor PastSince Aug 12, 2013 Accepting new patients
Healthzone Chiropractic 8 PC Chiropractor PastSince Jan 1, 2007 Accepting new patients
William J. Steinbach D.C.,P.C. Chiropractor PastSince Sep 1, 2003 Accepting new patients
Ryan Lucas Chiropractic PC Chiropractor PastSince Aug 15, 2005 Accepting new patients
Dr. Eimers Hearing Clinic PastSince May 22, 2017 Accepting new patients
Healthzone Chiropractic 3, PC Chiropractor PastSince Dec 1, 2004 Accepting new patients

Organizations & group practices 8

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": "1249862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544054400000",
    "number": "1053543017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 W MAIN ST",
            "city": "GAYLORD",
            "state": "MI",
            "postal_code": "497352300",
            "telephone_number": "989-748-4400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2682 SW OPAL LAKE RD",
            "city": "GAYLORD",
            "state": "MI",
            "postal_code": "497358792",
            "telephone_number": "989-748-4400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILLING",
        "first_name": "CRAIG",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-08-10",
        "last_updated": "2018-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301005823",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0F95008",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gaylord, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2018; 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.