GNR Chiropractic LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

GNR CHIROPRACTIC LLC

Doing business as

Westside Pain Clinic

Practice address

2700 W Lawrence Ave Ste J3
Springfield, IL 62704-7201

Phone

(217) 546-6698

Fax

(217) 546-4487

NPI assigned

Jan 22, 2018

Last updated

Jan 22, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Loren Richie, DCNPI 1356360275

Title

Owner

Phone

(217) 971-0634

Specialties & licenses 1

Addresses

Other names 1

• Westside Pain Clinic Doing business as

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 9

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.

• Loren W. Richie, DC

  • Chiropractor
  • Springfield, IL
  • NPI 1356360275
  Medicare reassignment Care Compare group Authorized official
• Keenan J Gilpin, D.C.

  • Chiropractor
  • Springfield, IL
  • NPI 1922410026
  Medicare reassignment Care Compare group NPD
• Kyle Wayne Nevill, D.C.

  • Chiropractor
  • Springfield, IL
  • NPI 1952648362
  Medicare reassignment Care Compare group NPD
• Samuel J Oertel, D.C.

  • Chiropractor
  • Albuquerque, NM
  • NPI 1710203823
  NPD
• Andrew Scott Brown, D.C.

  • Chiropractor
  • Springfield, IL
  • NPI 1073749404
  NPD (past)
• Christopher Erick Clem, D.C.

  • Thermography Chiropractor
  • Auburn, IL
  • NPI 1871521203
  NPD (past)
• Henry William Krug IV, D.C.

  • Chiropractor
  • Springfield, IL
  • NPI 1942583364
  NPD (past)
• Dale Lynn Wohlrabe, D.C.

  • Chiropractor
  • Springfield, IL
  • NPI 1881610509
  NPD (past)
• Derek Collin Clem, D.C.

  • Chiropractor
  • Greenville, SC
  • NPI 1427073113
  NPD (past)

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

{
    "created_epoch": "1516579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516579200000",
    "number": "1134637382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 W LAWRENCE AVE STE J3",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627047201",
            "telephone_number": "217-546-6698",
            "fax_number": "217-546-4487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 W LAWRENCE AVE STE J3",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627047201",
            "telephone_number": "217-546-6698",
            "fax_number": "217-546-4487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GNR CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-22",
        "last_updated": "2018-01-22",
        "status": "A",
        "authorized_official_last_name": "RICHIE",
        "authorized_official_first_name": "LOREN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "217-971-0634",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Westside Pain Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Heather L D Glessner, M.S., C.G.C.
• Robert S. Glickenberger, MD
• Brandon Zachary Gligor
• Chloe Shavonne Glispie-Gogins, LCSW
• Tamika Glover
• Keir Lon Goatley, M.A.
• Jenna Goeckner, MD
• Ruchika Goel, MD, MPH
• Ashley R Goetze, PT, DPT
• Nishita Surendra Gohel

• Chiropractor in Springfield, IL
• Providers in Springfield, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2018; 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.

Verify at the official NPI Registry.