Craig Allen Gillis, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

28072 Issued in CA

Practice address

17682 Beach Blvd Ste 102
Huntington Beach, CA 92647-6812

Phone

(714) 969-7800

NPI assigned

Oct 1, 2015

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1443657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685664000000",
    "number": "1194195289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3334 E COAST HWY # 180",
            "city": "CORONA DEL MAR",
            "state": "CA",
            "postal_code": "926252328",
            "telephone_number": "714-969-7800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17682 BEACH BLVD STE 102",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926476812",
            "telephone_number": "714-969-7800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILLIS",
        "first_name": "CRAIG",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-10-01",
        "last_updated": "2023-06-02",
        "certification_date": "2023-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "28072",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jake Gilbert, PTA,
• Jada Giles
• Andrew Grant Gill, ATC
• Milissa Gillen, L.AC.
• Penny Gilliotte
• Carolina Evett Giraldo, PPSC
• Doris D. Giraldo, D.C., L.AC.
• Brenda Giron
• GL Acupuncture Wellness Center
• Michael Andrew Glabman, M.P.T.

• Chiropractor in Huntington Beach, CA
• Providers in Huntington Beach, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.