Organization Active NPI

Kirk G. Gribler, D.C. Inc.

  • Chiropractor
  • Quincy, IL
National Provider Identifier
1063600138
Registry record updated Oct 14, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
KIRK G. GRIBLER, D.C. INC.
Practice address
1806 Chestnut St
Quincy, IL 62301-2120
Phone
(217) 222-7983
NPI assigned
Oct 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2007

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

Authorized official

Name
Dr. Kirk G Gribler, D.C.NPI 1316083587
Title
President
Phone
(217) 222-7983

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 IL Primary

Addresses

Primary practice location

1806 Chestnut St
Quincy, IL 62301-2120

Mailing address

1806 Chestnut St
Quincy, IL 62301-2120

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060417000157 IL Part B Supplier - Clinic/Group Practice 2668481805 Receives reassigned benefits from 2 practitioners
Practice locations: Quincy, IL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1192320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192320000000",
    "number": "1063600138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1806 CHESTNUT ST",
            "city": "QUINCY",
            "state": "IL",
            "postal_code": "623012120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1806 CHESTNUT ST",
            "city": "QUINCY",
            "state": "IL",
            "postal_code": "623012120",
            "telephone_number": "217-222-7983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIRK G. GRIBLER, D.C. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-14",
        "last_updated": "2007-10-14",
        "status": "A",
        "authorized_official_last_name": "GRIBLER",
        "authorized_official_first_name": "KIRK",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "217-222-7983",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Quincy, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2007; 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.