Individual provider Active NPI

Anthony Vincent Gioia, D.C.

  • Chiropractor
  • Lake in the Hills, IL
National Provider Identifier
1356340772
Registry record updated Aug 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038-007214 Issued in IL
Practice address
1303 W Algonquin Rd
Lake in the Hills, IL 60156-3575
Phone
(847) 854-0505
Fax
(847) 854-0808
NPI assigned
Jul 18, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038-007214 IL Primary

Addresses

Primary practice location

1303 W Algonquin Rd
Lake in the Hills, IL 60156-3575

Mailing address

1303 W Algonquin Rd
Lake in the Hills, IL 60156-3575
Phone (847) 854-0505

Other identifiers 1

IdentifierTypeStateIssuer
1606032OtherILBCBS OF IL PROVIDER #

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241003004164 FL Practitioner - Chiropractic 3779638325 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
National College of Chiropractic, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Michael J. Paulk P.a.Group PAC ID 8123262078, 3 clinicians

Practice addresses (Care Compare)

1413 Kingsley Ave
Orange Park, FL 32073-4527
Phone (904) 264-3966

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
038-007214ILMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Michael J. Paulk P.a. Chiropractor CurrentSince Aug 22, 2024 Accepting new patients
Bob Hutchinson PA Chiropractor PastSince Aug 22, 2024 Accepting new patients

Locations

1413 Kingsley Ave
Orange Park, FL 32073
Phone (904) 264-3966

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": "1121644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470441600000",
    "number": "1356340772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1303 W ALGONQUIN RD",
            "city": "LAKE IN THE HILLS",
            "state": "IL",
            "postal_code": "601563575",
            "telephone_number": "847-854-0505",
            "fax_number": "847-854-0808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1303 W ALGONQUIN RD",
            "city": "LAKE IN THE HILLS",
            "state": "IL",
            "postal_code": "601563575",
            "telephone_number": "847-854-0505",
            "fax_number": "847-854-0808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIOIA",
        "first_name": "ANTHONY",
        "middle_name": "VINCENT",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-18",
        "last_updated": "2016-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038-007214",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF IL PROVIDER #",
            "identifier": "1606032",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake in the Hills, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2016; 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.