Organization Active NPI

Kenneth Gilmore DC PA

Doing business as Gilmore Chiropractic

  • Chiropractor
  • Fort Pierce, FL
National Provider Identifier
1619150901
Registry record updated Jul 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
KENNETH GILMORE DC PA
Doing business as
Gilmore Chiropractic
Practice address
800 Virginia Ave Ste 45
Fort Pierce, FL 34982-5893
Phone
(772) 466-9575
Fax
(772) 466-9475
NPI assigned
Dec 10, 2007
Last updated
Jul 2, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2025

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

Authorized official

Name
Kerri Gilmore
Title
Owner/President
Phone
(772) 834-6019

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X NU Primary
Neurology Chiropractor 111NN0400X NU

Addresses

Primary practice location

800 Virginia Ave Ste 45
Fort Pierce, FL 34982-5893

Mailing address

800 Virginia Ave Ste 45
Fort Pierce, FL 34982-5893
Phone (772) 466-9575

Other identifiers 1

IdentifierTypeStateIssuer
CH13817OtherFLFLORIDA BOARD OF MEDICINE

Other names 1

  • GILMORE CHIROPRACTIC Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241209000666 FL Part B Supplier - Clinic/Group Practice 4385542174 Receives reassigned benefits from 3 practitioners
Practice locations: Fort Pierce, FL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1197244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751414400000",
    "number": "1619150901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 VIRGINIA AVE STE 45",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349825893",
            "telephone_number": "772-466-9575",
            "fax_number": "772-466-9475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 VIRGINIA AVE STE 45",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349825893",
            "telephone_number": "772-466-9575",
            "fax_number": "772-466-9475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNETH GILMORE DC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-10",
        "last_updated": "2025-07-02",
        "certification_date": "2025-07-02",
        "status": "A",
        "authorized_official_last_name": "GILMORE",
        "authorized_official_first_name": "KERRI",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "772-834-6019"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "111NN0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Neurology",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA BOARD OF MEDICINE",
            "identifier": "CH13817",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GILMORE CHIROPRACTIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Pierce, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2025; 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.