Active NPI
Gwen Pillow, D.C.
- Chiropractor
- Tampa, FL
National Provider Identifier
1326049339
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH13384
- Practice address
- 13301 Orange Grove Dr Ste a
Tampa, FL 33618-2915 - Phone
- (813) 963-3055
- NPI assigned
- Aug 2, 2005
- Reactivated
- Mar 27, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC29264 | CA | |
| Chiropractor | 111N00000X | CH13384 | FL | Primary |
Addresses
Primary practice location
13301 Orange Grove Dr Ste a
Tampa, FL 33618-2915
Mailing address
13301 Orange Grove Dr Ste a
Tampa, FL 33618-2915
Phone (813) 963-3055
Other practice location 1
5537 Sheldon Rd Ste T
Tampa, FL 33615-3173
Phone (813) 885-5786
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DC 29264 | Other | CA | CA CHIROPRACTIC BOARD |
| CH13384 | Other | FL | FLORIDA DEPARTMENT OF HEALTH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230522001754 | FL | Practitioner - Chiropractic | 9830143437 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC29264 | CA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718582400000",
"number": "1326049339",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13301 ORANGE GROVE DR STE A",
"city": "TAMPA",
"state": "FL",
"postal_code": "336182915",
"telephone_number": "813-963-3055"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13301 ORANGE GROVE DR STE A",
"city": "TAMPA",
"state": "FL",
"postal_code": "336182915",
"telephone_number": "813-963-3055"
}
],
"practiceLocations": [
{
"address_1": "5537 Sheldon Rd Ste T",
"address_purpose": "LOCATION",
"city": "Tampa",
"state": "FL",
"postal_code": "336153173",
"country_code": "US",
"telephone_number": "813-885-5786",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PILLOW",
"first_name": "GWEN",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-08-02",
"last_updated": "2024-06-17",
"certification_date": "2024-06-17",
"deactivation_date": "2006-03-21",
"reactivation_date": "2006-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "DC29264",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "FL",
"license": "CH13384",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CA CHIROPRACTIC BOARD",
"identifier": "DC 29264",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FLORIDA DEPARTMENT OF HEALTH",
"identifier": "CH13384",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2024; 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.