Kristal Mari Gordils, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

S03913 Issued in MD

Practice address

7505 New Hampshire Ave Ste 320
Takoma Park, MD 20912-6972

Phone

(301) 576-0500

Fax

(307) 431-0010

NPI assigned

Feb 22, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

Specialty

Chiropractic

Education

New York Chiropractic College, 2016

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Rxwellness Spine & Health - Laurel

  • Chiropractor
  • Laurel, MD
  • NPI 1598559841

  DC

  Medicare reassignment
• Ameriwell Chiropractic, PC

  • Chiropractor
  • Takoma Park, MD
  • NPI 1922480292
  NPD (past)

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

{
    "created_epoch": "1487721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487721600000",
    "number": "1356880447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 MELVIN ST APT 3034",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208773171",
            "telephone_number": "787-235-0997",
            "fax_number": "301-431-0010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7505 NEW HAMPSHIRE AVE STE 320",
            "city": "TAKOMA PARK",
            "state": "MD",
            "postal_code": "209126972",
            "telephone_number": "301-576-0500",
            "fax_number": "307-431-0010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORDILS",
        "first_name": "KRISTAL",
        "middle_name": "MARI",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-02-22",
        "last_updated": "2017-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MD",
            "license": "S03913",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Godswill O. Okoji, M.D., LLC
• Sarah Shana Gold
• Danielle Beth Goldberg, MSW, LICSW, LCSW-C
• Jon W Gonella, PA
• Good Health, Health Care Agency, Inc.
• Maria Mika Graviet, LGMFT
• Gregory O. Catchings DMD PA
• Daniel Michael Griffin, PHD
• Julia Berman Grossman, PA-C
• Jessica Anne Gruber

• Chiropractor in Takoma Park, MD
• Providers in Takoma Park, MD by specialty
• Chiropractor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2017; 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.