Organization Active NPI

Gladish Chiropractic and Acupuncture LLC

  • Chiropractor
  • Tell City, IN
National Provider Identifier
1114596152
Registry record updated Jun 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
GLADISH CHIROPRACTIC AND ACUPUNCTURE LLC
Practice address
1430 Main St
Tell City, IN 47586-1404
Phone
(812) 547-8692
Fax
(812) 547-8694
NPI assigned
Jun 23, 2021
Last updated
Jun 23, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2021

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

Authorized official

Name
Dr. Jared Lee Gladish, DCNPI 1104878289
Title
Owner
Phone
(812) 547-8692

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 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
O20210716000418 IN Part B Supplier - Clinic/Group Practice 1557763356 Receives reassigned benefits from 2 practitioners
Practice locations: Tell City, IN

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
15D2324522Gladish Chiropractic and Acupuncture, LLC1430 Main Street, Tell City, IN 47586Certificate of waiverMay 26, 2027

National Provider Directory

National Provider Directory

Locations

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

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1624406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624406400000",
    "number": "1114596152",
    "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",
            "fax_number": "812-547-8694"
        },
        {
            "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",
            "fax_number": "812-547-8694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLADISH CHIROPRACTIC AND ACUPUNCTURE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-23",
        "last_updated": "2021-06-23",
        "certification_date": "2021-06-23",
        "status": "A",
        "authorized_official_last_name": "GLADISH",
        "authorized_official_first_name": "JARED",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "812-547-8692",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "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 Jun 23, 2021; 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.