Individual provider Active NPI

Justin Mathew Gilmore, D.C.

  • Chiropractor
  • Carmel, IN
National Provider Identifier
1457491185
Registry record updated Dec 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
08002312A Issued in IN
Practice address
14801 Market Center Drive
Suite 150
Carmel, IN 46033-5519
Phone
(317) 587-2727
NPI assigned
Feb 8, 2007
Last updated
Dec 6, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 08002312A IN Primary

Addresses

Primary practice location

14801 Market Center Drive
Suite 150
Carmel, IN 46033-5519

Mailing address

14801 Market Center Drive
Suite 150
Carmel, IN 46033-5519
Phone (317) 587-2727

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070605000124 IN Practitioner - Chiropractic 1658479308 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

14801 Market Ctr Dr
Carmel, IN 46033-5519
Phone (317) 587-2727

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
08002312AINMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Justin M Gilmore DC PC Chiropractor CurrentSince Jun 1, 2007 Accepting new patients

Locations

14801 Market Center Dr
Carmel, IN 46033
Phone (317) 587-2727

14801 Market Center Dr
Ste 150
Carmel, IN 46033
Phone (317) 587-2727

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1512518400000",
    "number": "1457491185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14801 MARKET CENTER DRIVE",
            "address_2": "SUITE 150",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460335519",
            "telephone_number": "317-587-2727",
            "fax_number": "317-587-2726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14801 MARKET CENTER DRIVE",
            "address_2": "SUITE 150",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460335519",
            "telephone_number": "317-587-2727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILMORE",
        "first_name": "JUSTIN",
        "middle_name": "MATHEW",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-08",
        "last_updated": "2017-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08002312A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carmel, IN

Sources for this page

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