Organization Active NPI

Healthzone Chiropractic PC

  • Chiropractor
  • Gaylord, MI
National Provider Identifier
1457584229
Registry record updated Aug 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301005823 Issued in MI
Legal business name
HEALTHZONE CHIROPRACTIC PC
Practice address
2682 SW Opal Lake Rd
Gaylord, MI 49735-8792
Phone
(989) 748-4400
NPI assigned
Aug 27, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2009

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

Authorized official

Name
Craig Robert Gilling, D.C.NPI 1053543017
Title
President
Phone
(989) 748-4400

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2301005823 MI Primary

Addresses

Primary practice location

2682 SW Opal Lake Rd
Gaylord, MI 49735-8792

Mailing address

PO Box 1018
Gaylord, MI 49734-5018
Phone (989) 748-4400

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100304000736 MI Part B Supplier - Clinic/Group Practice 2769527597 Receives reassigned benefits from 1 practitioner
Practice locations: Gaylord, MI

National Provider Directory

National Provider Directory

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": "1251331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251331200000",
    "number": "1457584229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1018",
            "city": "GAYLORD",
            "state": "MI",
            "postal_code": "497345018",
            "telephone_number": "989-748-4400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2682 SW OPAL LAKE RD",
            "city": "GAYLORD",
            "state": "MI",
            "postal_code": "497358792",
            "telephone_number": "989-748-4400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHZONE CHIROPRACTIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-27",
        "last_updated": "2009-08-27",
        "status": "A",
        "authorized_official_last_name": "GILLING",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "989-748-4400",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301005823",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gaylord, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2009; 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.