John Allen Gillis, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1226 Issued in OH

Practice address

1905 Latham Ave
Lima, OH 45805-1637

Phone

(419) 228-0000

NPI assigned

Nov 16, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Specialty

Chiropractic

Education

Logan College of Chiropractic, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Family Chiropractic Care Center, IncGroup PAC ID 8729012190, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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

• Family Chiropractic Care Center, Inc

  dba Gillis Chiropractic Clinic

  • Chiropractor
  • Lima, OH
  • NPI 1750338463
  Medicare reassignment Care Compare group NPD Authorized official
• Family Chiropractic Care Center, Inc

  dba Gillis Chiropractic Clinic

  • Chiropractor
  • Cridersville, OH
  • NPI 1063146090
  NPD Authorized official
• Lima Memorial Joint Operating Company

  dba Lima Memorial Health System

  • General Acute Care Hospital
  • Lima, OH
  • NPI 1336144732
  NPD (past)

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657670400000",
    "number": "1679646822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1905 LATHAM AVE",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458051637",
            "telephone_number": "419-228-0000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1905 LATHAM AVE",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458051637",
            "telephone_number": "419-228-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILLIS",
        "first_name": "JOHN",
        "middle_name": "ALLEN",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-16",
        "last_updated": "2022-07-13",
        "certification_date": "2022-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "1226",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PARAMOUNT",
            "identifier": "04754",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS / BLUE SHIELD",
            "identifier": "00000181391",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL MUTUAL",
            "identifier": "31-1490432-004",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4598779",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jill Gilgenbach
• Susan Gill, RPH
• Tara Gilles, FNP/CNP
• Cybill Chariss Gillette, R.N.
• Chad Gillis, DC
• Adelynn Gipson
• Kamran Gitiban, PH.D, LPCC
• Lemlem Hailesilassie Gizaw
• Cathy C Gladfelter, DIETICIAN
• Kyle Christopher Glasgow, PHARM.D., RPH

• Chiropractor in Lima, OH
• Providers in Lima, OH by specialty
• Chiropractor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2022; 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.