Active NPI
Heather B Gilmore, DC, ATC
- Chiropractor
- Bridgeton, MO
National Provider Identifier
1104417971
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2021004153
- Practice address
- 12258 Saint Charles Rock Rd
Bridgeton, MO 63044-2501 - Phone
- (314) 432-2444
- NPI assigned
- Feb 3, 2021
- Sex
- Female
- 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 | 2021004153 | MO | Primary |
Addresses
Primary practice location
12258 Saint Charles Rock Rd
Bridgeton, MO 63044-2501
Mailing address
12258 Saint Charles Rock Rd
Bridgeton, MO 63044-2501
Phone (314) 432-2444
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2021004153 | MO | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gilmore Chiropractic & Health Services LLC | Chiropractor | Current | Accepting new patients |
Locations
12258 Saint Charles Rock Rd
Bridgeton, MO 63044
Phone (314) 432-2444
9449 Olive Blvd
Saint Louis, MO 63132
Phone (314) 432-2220
Organizations & group practices 1
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
- Bridgeton, MO
- NPI 1093386500
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1612310400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1649721600000",
"number": "1104417971",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12258 SAINT CHARLES ROCK RD",
"city": "BRIDGETON",
"state": "MO",
"postal_code": "630442501",
"telephone_number": "314-432-2444"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12258 SAINT CHARLES ROCK RD",
"city": "BRIDGETON",
"state": "MO",
"postal_code": "630442501",
"telephone_number": "314-432-2444"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GILMORE",
"first_name": "HEATHER",
"middle_name": "B",
"name_prefix": "Dr.",
"credential": "DC, ATC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-02-03",
"last_updated": "2022-04-12",
"certification_date": "2022-04-12",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MO",
"license": "2021004153",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bridgeton, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 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.