Organization Active NPI

Gillman Chiropractic, PC

  • Clinic/Center
  • Natick, MA
National Provider Identifier
1427365436
Registry record updated Nov 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
484 Issued in MA
Legal business name
GILLMAN CHIROPRACTIC, PC
Practice address
209 W Central St Ste 220
Natick, MA 01760-3716
Phone
(508) 650-1091
Fax
(508) 650-1563
NPI assigned
Sep 13, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2023

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

Authorized official

Name
Dr. Scott F Gillman, DCNPI 1922109669
Title
Doctor/Owner
Phone
(508) 650-1091

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 484 MA Primary

Addresses

Primary practice location

209 W Central St Ste 220
Natick, MA 01760-3716

Mailing address

209 W Central St Ste 220
Natick, MA 01760-3716
Phone (508) 650-1091

Other identifiers 1

IdentifierTypeStateIssuer
1610309MedicaidMA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110511000052 MA Part B Supplier - Clinic/Group Practice 2769668607 Receives reassigned benefits from 1 practitioner
Practice locations: Natick, MA

National Provider Directory

National Provider Directory

Locations

209 W Central St
Ste 200
Natick, MA 01760

251 W Central St
Ste 6
Natick, MA 01760
Phone (508) 650-1091

209 W Central St
Ste 220
Natick, MA 01760
Phone (508) 650-1091

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1284336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699833600000",
    "number": "1427365436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 W CENTRAL ST STE 220",
            "city": "NATICK",
            "state": "MA",
            "postal_code": "017603716",
            "telephone_number": "508-650-1091",
            "fax_number": "508-650-1563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 W CENTRAL ST STE 220",
            "city": "NATICK",
            "state": "MA",
            "postal_code": "017603716",
            "telephone_number": "508-650-1091",
            "fax_number": "508-650-1563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GILLMAN CHIROPRACTIC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-13",
        "last_updated": "2023-11-13",
        "certification_date": "2023-09-11",
        "status": "A",
        "authorized_official_last_name": "GILLMAN",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "DOCTOR/OWNER",
        "authorized_official_telephone_number": "508-650-1091",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "MA",
            "license": "484",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1610309",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Natick, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2023; 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.

Verify at the official NPI Registry.