Active NPI
Robert Lance Gilson, DC
- Chiropractor
- Holland, OH
National Provider Identifier
1245295211
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1050
- Practice address
- 6910 Airport Hwy
Suite 1a
Holland, OH 43528 - Phone
- (419) 867-6910
- Fax
- (419) 867-9949
- NPI assigned
- Apr 20, 2006
- Last updated
- Aug 2, 2010
- Sex
- Male
- Sole proprietor
- Yes
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 | 1050 | OH | Primary |
Addresses
Primary practice location
6910 Airport Hwy
Suite 1a
Holland, OH 43528
Mailing address
6910 Airport Hwy
Suite 1a
Holland, OH 43528
Phone (419) 867-6910
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0575140 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20111216000595 | OH | Practitioner - Chiropractic | 7315112505 | Practice locations: Holland, OH |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
6910 Airport Hwy
Suite 1a
Holland, OH 43528-8037
Phone (419) 867-6910
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1050 | OH | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145491200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1280707200000",
"number": "1245295211",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6910 AIRPORT HWY",
"address_2": "SUITE 1A",
"city": "HOLLAND",
"state": "OH",
"postal_code": "43528",
"telephone_number": "419-867-6910",
"fax_number": "419-867-9949"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6910 AIRPORT HWY",
"address_2": "SUITE 1A",
"city": "HOLLAND",
"state": "OH",
"postal_code": "43528",
"telephone_number": "419-867-6910",
"fax_number": "419-867-9949"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GILSON",
"first_name": "ROBERT",
"middle_name": "LANCE",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-04-20",
"last_updated": "2010-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "OH",
"license": "1050",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0575140",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Holland, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2010; 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.