Active NPI
Jason R Gillies, D.C.
- Chiropractor
- Colorado Springs, CO
National Provider Identifier
1770888232
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 6562
- Practice address
- 824 E Fillmore St
Colorado Springs, CO 80907-6375 - Phone
- (719) 634-2579
- Fax
- (719) 634-2371
- NPI assigned
- Jan 14, 2011
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 6562 | CO | Primary |
| Physical Therapy Assistant | 225200000X | PTA.0013124 | CO |
Addresses
Primary practice location
824 E Fillmore St
Colorado Springs, CO 80907-6375
Mailing address
824 E Fillmore St
Colorado Springs, CO 80907-6375
Phone (719) 634-2579
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6562 | CO | MD | Chiropractor |
| PTA.0013124 | CO | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1294963200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1391558400000",
"number": "1770888232",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "824 E FILLMORE ST",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809076375",
"telephone_number": "719-634-2579",
"fax_number": "719-634-2371"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "824 E FILLMORE ST",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809076375",
"telephone_number": "719-634-2579",
"fax_number": "719-634-2371"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GILLIES",
"first_name": "JASON",
"middle_name": "R",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-01-14",
"last_updated": "2014-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CO",
"license": "6562",
"primary": true
},
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "CO",
"license": "PTA.0013124",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Colorado Springs, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.