Individual provider Active NPI

Luan T Gip, DC

  • Chiropractor
  • Silverdale, WA
National Provider Identifier
1093930422
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH00034047 Issued in WA
Practice address
9414 Ridgetop Blvd NW
101
Silverdale, WA 98383-8525
Phone
(360) 308-0250
NPI assigned
Apr 13, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH00034047 WA Primary

Addresses

Primary practice location

9414 Ridgetop Blvd NW
101
Silverdale, WA 98383-8525

Mailing address

12221 Central Valley Rd NW
Poulsbo, WA 98370-7011
Phone (360) 308-0250

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050330000439 WA Practitioner - ChiropracticPractitioner - Physical Medicine and Rehabilitation 1850346156 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
ChiropracticAlso: Physical Medicine and Rehabilitation
Education
Los Angeles College of Chiropractic, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gip IncGroup PAC ID 1951356252, 2 clinicians

Practice addresses (Care Compare)

19351 8TH Ave NE
Suite S139
Poulsbo, WA 98370-8710
Phone (360) 697-6100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Patients Clinic Inc Chiropractor CurrentSince Jan 1, 2005 Accepting new patients
Gip Inc Chiropractor CurrentSince Mar 1, 2021 Accepting new patients
Well Being Yoga, LLC Past Accepting new patients

Locations

19351 8th Ave NE
Ste S139
Poulsbo, WA 98370
Phone (360) 697-6100

19045 State Highway 305 NE
Ste 190
Poulsbo, WA 98370
Phone (360) 697-6100

9414 Ridgetop Blvd NW
Ste 101
Silverdale, WA 98383
Phone (360) 308-0250

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.

NPI Registry JSON

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

{
    "created_epoch": "1176422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1093930422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12221 CENTRAL VALLEY RD NW",
            "city": "POULSBO",
            "state": "WA",
            "postal_code": "983707011",
            "telephone_number": "360-308-0250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9414 RIDGETOP BLVD NW",
            "address_2": "101",
            "city": "SILVERDALE",
            "state": "WA",
            "postal_code": "983838525",
            "telephone_number": "360-308-0250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIP",
        "first_name": "LUAN",
        "middle_name": "T",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-13",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00034047",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Silverdale, WA

Sources for this page

Verify at the official NPI Registry.