Family Chiropractic Care Center, Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1226 Issued in OH

Legal business name

FAMILY CHIROPRACTIC CARE CENTER, INC

Practice address

1905 Latham Ave
Lima, OH 45805-1637

Phone

(419) 228-0000

Fax

(419) 227-1941

NPI assigned

May 28, 2006

Organization subpart

No

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

Authorized official

Name

Mr. John A Gillis, DCNPI 1679646822

Title

Chiropractor/President

Phone

(419) 228-0000

Specialties & licenses 1

Addresses

Other names 1

• Gillis Chiropractic Clinic Doing business as

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Family Chiropractic Care Center, Inc

  • Chiropractor
  • Cridersville, OH
  • NPI 1063146090
  NPPES parent name

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• John Allen Gillis, DC

  • Chiropractor
  • Lima, OH
  • NPI 1679646822
  Medicare reassignment Care Compare group NPD Authorized official
• Chad Gillis, DC

  • Chiropractor
  • Lima, OH
  • NPI 1114530995
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1148774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210809600000",
    "number": "1750338463",
    "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",
            "fax_number": "419-227-1941"
        },
        {
            "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",
            "fax_number": "419-227-1941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY CHIROPRACTIC CARE CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-28",
        "last_updated": "2008-05-15",
        "status": "A",
        "authorized_official_last_name": "GILLIS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CHIROPRACTOR/PRESIDENT",
        "authorized_official_telephone_number": "419-228-0000",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "1226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gillis Chiropractic Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nonso Andrew Ezema, M.D.
• Stanley Eziukwu, MD
• Kristy Ellen Faddis
• Stacy L Fahlsing, DR.
• Stephanie Marie Fall, RN
• Family Medical Center of Lima, Inc.
• Family Physicians of Lima Inc
• Family Resource Center
• Family Resource Center of Northwest Ohio Inc
• Family Resource Center of Northwest Ohio Inc

• 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 May 15, 2008; 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.