Active NPI
Garrett Keith Gallentine, D.C
- Chiropractor
- Cincinnati, OH
National Provider Identifier
1124462866
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 4374
- Practice address
- 11123 Montgomery Rd
Suite 100
Cincinnati, OH 45249-2389 - Phone
- (513) 239-8375
- NPI assigned
- Apr 24, 2013
- Sex
- Male
- Sole proprietor
- No
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 | 4374 | OH | Primary |
Addresses
Primary practice location
11123 Montgomery Rd
Suite 100
Cincinnati, OH 45249-2389
Mailing address
11123 Montgomery Rd
Suite 100
Cincinnati, OH 45249-2389
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4374 | OH | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellness Docs Corporation | Chiropractor | Current | Accepting new patients |
| Wellness Docs | Current | Accepting new patients |
Locations
11123 Montgomery Rd
Ste 105
Cincinnati, OH 45249
Phone (513) 342-1700
Organizations & group practices 2
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.
-
- Physical Medicine & Rehabilitation Physician
- Cincinnati, OH
- NPI 1033729496
-
- Chiropractor
- Fairfield Township, OH
- NPI 1881568863
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1366761600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1369785600000",
"number": "1124462866",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11123 MONTGOMERY RD",
"address_2": "SUITE 100",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452492389"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11123 MONTGOMERY RD",
"address_2": "SUITE 100",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452492389",
"telephone_number": "513-239-8375"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GALLENTINE",
"first_name": "GARRETT",
"middle_name": "KEITH",
"name_prefix": "Dr.",
"credential": "D.C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-04-24",
"last_updated": "2013-05-29",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "OH",
"license": "4374",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.