Active NPI
Kenneth Allen Gilman, D.C.
- Chiropractor
- Clarksville, TN
National Provider Identifier
1093798787
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC0000001555
- Practice address
- 1636 Madison St
Clarksville, TN 37043-4911 - Phone
- (931) 647-3692
- Fax
- (931) 647-0279
- NPI assigned
- Nov 28, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC0000001555 | TN | Primary |
Addresses
Primary practice location
1636 Madison St
Clarksville, TN 37043-4911
Mailing address
1636 Madison St
Clarksville, TN 37043-2977
Phone (931) 647-3692
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 166425100 | Other | TN | U.S. DEPT OF LABOR |
| 1356690754 | Other | TN | NPI FOR GROUP |
| 3125516 | Other | TN | BLUECROSS BLUESHIELD |
| 350046998 | Other | TN | RAILROAD BENEFICIARY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Logan College of Chiropractic, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1636 Madison St
Suite a
Clarksville, TN 37043-4934
Phone (931) 647-3692
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1555 | TN | MD | Marriage & Family Therapist |
| DC0000001555 | TN | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Point Surgical PLLC | Current | Accepting new patients | |
| Clarksville Family Chiropractic | Chiropractor | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Chiropractor
- Clarksville, TN
- NPI 1598395220
-
- General Practice Physician
- Clarksville, TN
- NPI 1740807601
-
- Chiropractor
- Clarksville, TN
- NPI 1639441926
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133136000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1421107200000",
"number": "1093798787",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1636 MADISON ST",
"city": "CLARKSVILLE",
"state": "TN",
"postal_code": "370432977",
"telephone_number": "931-647-3692"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1636 MADISON ST",
"city": "CLARKSVILLE",
"state": "TN",
"postal_code": "370434911",
"telephone_number": "931-647-3692",
"fax_number": "931-647-0279"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GILMAN",
"first_name": "KENNETH",
"middle_name": "ALLEN",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-11-28",
"last_updated": "2015-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TN",
"license": "DC0000001555",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "U.S. DEPT OF LABOR",
"identifier": "166425100",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI FOR GROUP",
"identifier": "1356690754",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECROSS BLUESHIELD",
"identifier": "3125516",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD BENEFICIARY",
"identifier": "350046998",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Clarksville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2015; 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.