Active NPI
Kyle Brian Gilmour, D.C.
- Chiropractor
- San Diego, CA
National Provider Identifier
1700056082
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC25058
- Practice address
- 7867 Convoy CT
Suite 306
San Diego, CA 92111-1214 - Phone
- (858) 715-1962
- Fax
- (858) 715-1969
- NPI assigned
- Mar 3, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC25058 | CA | Primary |
Addresses
Primary practice location
7867 Convoy CT
Suite 306
San Diego, CA 92111-1214
Mailing address
7867 Convoy CT
Suite 306
San Diego, CA 92111-1214
Phone (858) 715-1962
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC25058 | CA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1204502400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1204502400000",
"number": "1700056082",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7867 CONVOY CT",
"address_2": "SUITE 306",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921111214",
"telephone_number": "858-715-1962",
"fax_number": "858-715-1969"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7867 CONVOY CT",
"address_2": "SUITE 306",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921111214",
"telephone_number": "858-715-1962",
"fax_number": "858-715-1969"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GILMOUR",
"first_name": "KYLE",
"middle_name": "BRIAN",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-03-03",
"last_updated": "2008-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "DC25058",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.