Individual provider Active NPI

Keiko Gill, D.C.

  • Chiropractor
  • Blaine, WA
National Provider Identifier
1225442205
Registry record updated Jul 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIR.CH.70009563 Issued in WA
Practice address
245 H St
Blaine, WA 98230-4021
Phone
(360) 332-1086
Fax
(360) 332-6071
NPI assigned
Jun 17, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 22682 CA
Chiropractor 111N00000X CHIR.CH.70009563 WA Primary
Chiropractor 111N00000X 589 AK

Addresses

Primary practice location

245 H St
Blaine, WA 98230-4021

Mailing address

245 H St
Blaine, WA 98230-4021
Phone (360) 332-1086

Other practice location 1

480 California Ave Ste 103
Palo Alto, CA 94306
Phone (650) 321-7193

Other practice location 2

3330 Eagle St
Anchorage, AK 99503-4146
Phone (907) 561-2330

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260622003003 WA Practitioner - Chiropractic 3476771742 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College - West, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Blaine Chiropractic Wellness PLLCGroup PAC ID 3173911674, 2 clinicians

Practice addresses (Care Compare)

245 H St
Blaine, WA 98230-4021
Phone (360) 332-1086

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
589AKMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Health Care Chiropractor PastSince Feb 23, 2019 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1402963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785283200000",
    "number": "1225442205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 H ST",
            "city": "BLAINE",
            "state": "WA",
            "postal_code": "982304021",
            "telephone_number": "360-332-1086",
            "fax_number": "360-332-6071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 H ST",
            "city": "BLAINE",
            "state": "WA",
            "postal_code": "982304021",
            "telephone_number": "360-332-1086",
            "fax_number": "360-332-6071"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "480 California Ave Ste 103",
            "address_purpose": "LOCATION",
            "city": "Palo Alto",
            "state": "CA",
            "postal_code": "94306",
            "country_code": "US",
            "telephone_number": "650-321-7193",
            "fax_number": "877-763-3234",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3330 Eagle St",
            "address_purpose": "LOCATION",
            "city": "Anchorage",
            "state": "AK",
            "postal_code": "995034146",
            "country_code": "US",
            "telephone_number": "907-561-2330",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GILL",
        "first_name": "KEIKO",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-17",
        "last_updated": "2026-07-29",
        "certification_date": "2026-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "22682",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CHIR.CH.70009563",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AK",
            "license": "589",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blaine, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2026; 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.