Organization Active NPI

Family Chiropractic Care Center, Inc

Doing business as Gillis Chiropractic Clinic

  • Chiropractor
  • Cridersville, OH
National Provider Identifier
1063146090
Registry record updated Jul 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
FAMILY CHIROPRACTIC CARE CENTER, INC
Doing business as
Gillis Chiropractic Clinic
Practice address
306 Reichelderfer Rd
Cridersville, OH 45806-2252
Phone
(419) 228-0000
NPI assigned
Jul 14, 2022
Organization subpart
Yes
Parent organization
FAMILY CHIROPRACTIC CARE CENTER, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 14, 2022

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

Authorized official

Name
John Allen Gillis, DCNPI 1679646822
Title
Owner
Phone
(419) 228-0000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

306 Reichelderfer Rd
Cridersville, OH 45806-2252

Mailing address

1905 Latham Ave
Lima, OH 45805-1637
Phone (419) 228-0000

Other names 1

  • Gillis Chiropractic Clinic Doing business as

National Provider Directory

National Provider Directory
Part of
Family Chiropracitc Car

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1657756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657756800000",
    "number": "1063146090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1905 LATHAM AVE",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458051637",
            "telephone_number": "419-228-0000",
            "fax_number": "419-227-1941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 REICHELDERFER RD",
            "city": "CRIDERSVILLE",
            "state": "OH",
            "postal_code": "458062252",
            "telephone_number": "419-228-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY CHIROPRACTIC CARE CENTER, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FAMILY CHIROPRACTIC CARE CENTER, INC.",
        "enumeration_date": "2022-07-14",
        "last_updated": "2022-07-14",
        "certification_date": "2022-07-14",
        "status": "A",
        "authorized_official_last_name": "GILLIS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "419-228-0000",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gillis Chiropractic Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cridersville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.