Individual provider Active NPI

Jared L Gladish, DC

  • Chiropractor
  • Tell City, IN
National Provider Identifier
1104878289
Registry record updated Oct 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
08001856A Issued in IN
Practice address
1430 Main St
Tell City, IN 47586-1404
Phone
(812) 547-8692
NPI assigned
May 16, 2006
Last updated
Oct 16, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 16, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 08001856A IN Primary

Addresses

Primary practice location

1430 Main St
Tell City, IN 47586-1404

Mailing address

1430 Main St
Tell City, IN 47586-1404
Phone (812) 547-8692

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070912000131 IN Practitioner - Chiropractic 6406949007 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gladish Chiropractic and Acupuncture LLCGroup PAC ID 1557763356, 2 clinicians

Practice addresses (Care Compare)

1430 Main St
Tell City, IN 47586-1404
Phone (812) 547-8692

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
08001856AINMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Gladish Chiropractic and Acupuncture LLC Chiropractor CurrentSince Jun 21, 2021 Accepting new patients

Locations

1430 Main St
Tell City, IN 47586
Phone (812) 547-8692

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350345600000",
    "number": "1104878289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1430 MAIN ST",
            "city": "TELL CITY",
            "state": "IN",
            "postal_code": "475861404",
            "telephone_number": "812-547-8692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1430 MAIN ST",
            "city": "TELL CITY",
            "state": "IN",
            "postal_code": "475861404",
            "telephone_number": "812-547-8692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLADISH",
        "first_name": "JARED",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-16",
        "last_updated": "2012-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08001856A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tell City, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2012; 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.

Verify at the official NPI Registry.