Organization Active NPI

Gillham Chiropractic LLC

  • Chiropractor
  • Colorado Springs, CO
National Provider Identifier
1285860064
Registry record updated Jun 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
6337 Issued in CO
Legal business name
GILLHAM CHIROPRACTIC LLC
Practice address
824 E Fillmore St
Colorado Springs, CO 80907-6375
Phone
(719) 634-2579
Fax
(719) 634-2371
NPI assigned
Jun 6, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2009

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

Authorized official

Name
Dr. William Mark Gillham, DC
Title
Member
Phone
(719) 362-6239

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 6337 CO Primary

Addresses

Primary practice location

824 E Fillmore St
Colorado Springs, CO 80907-6375

Mailing address

824 E Fillmore St
Colorado Springs, CO 80907-6375
Phone (719) 634-2579

National Provider Directory

National Provider Directory

Locations

824 E Fillmore St
Colorado Springs, CO 80907
Phone (719) 634-2579

NPI Registry JSON

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

{
    "created_epoch": "1244246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1244246400000",
    "number": "1285860064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "824 E FILLMORE ST",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809076375",
            "telephone_number": "719-634-2579",
            "fax_number": "719-634-2371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "824 E FILLMORE ST",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809076375",
            "telephone_number": "719-634-2579",
            "fax_number": "719-634-2371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GILLHAM CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-06",
        "last_updated": "2009-06-06",
        "status": "A",
        "authorized_official_last_name": "GILLHAM",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "MARK",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "719-362-6239",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "6337",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2009; 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.