Clarksville Family Chiropractic

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC1555 Issued in TN

Legal business name

CLARKSVILLE FAMILY CHIROPRACTIC

Doing business as

Clarksville Chiropractic Center

Practice address

1636 Madison St
Clarksville, TN 37043-2977

Phone

(931) 647-3692

Fax

(931) 647-0279

NPI assigned

Feb 1, 2012

Last updated

Feb 1, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Kenneth A. Gilman, D.C.NPI 1093798787

Title

Owner

Phone

(931) 647-3692

Specialties & licenses 1

Addresses

Other names 1

• Clarksville Chiropractic Center Doing business as

Practitioners 1

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.

• Kenneth Allen Gilman, D.C.

  • Chiropractor
  • Clarksville, TN
  • NPI 1093798787
  NPD (past) Authorized official

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

{
    "created_epoch": "1328054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328054400000",
    "number": "1639441926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1636 MADISON ST",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370432977",
            "telephone_number": "931-647-3692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1636 MADISON ST",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370432977",
            "telephone_number": "931-647-3692",
            "fax_number": "931-647-0279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLARKSVILLE FAMILY CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-01",
        "last_updated": "2012-02-01",
        "status": "A",
        "authorized_official_last_name": "GILMAN",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "931-647-3692",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TN",
            "license": "DC1555",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clarksville Chiropractic Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Clarksville Health System GP (Gateway Health System)
• Clarksville Health System GP (Tennova Healthcare-Clarksville)
• Clarksville Health System GP (Gateway Health System)

• Chiropractor in Clarksville, TN
• Providers in Clarksville, TN by specialty
• Chiropractor in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.