Individual provider Active NPI

Gregory Alan Yingling, D.C.

  • Chiropractor
  • St Petersburg, FL
National Provider Identifier
1831267160
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH 8471 Issued in FL
Practice address
5290 Seminole Blvd
Suite a & B
St Petersburg, FL 33708-3369
Phone
(727) 398-2988
Fax
(727) 398-5025
NPI assigned
Dec 4, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH 8471 FL Primary

Addresses

Primary practice location

5290 Seminole Blvd
Suite a & B
St Petersburg, FL 33708-3369

Mailing address

5290 Seminole Blvd
Suite a & B
St Petersburg, FL 33708-3369
Phone (727) 398-2988

Other identifiers 4

IdentifierTypeStateIssuer
650831OtherFLUNITED HEALTH CARE I.D.
CH 8471OtherFLFLORIDA LICENSE #
34975-88137ZOtherFLBLUE CROSS BLUE SHIELD
G3217969OtherFLFIRST HEALTH NETWORK I.D.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120103000423 FL Practitioner - Chiropractic 2365618949 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5290 Seminole Blvd
Suite Aandb
St Petersburg, FL 33708-3369
Phone (727) 398-2988

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH 8471FLMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Chiropractic Clinics Inc Chiropractor CurrentSince Sep 1, 2002 Accepting new patients

Locations

5290 Seminole Blvd
Ste A
St Petersburg, FL 33708
Phone (727) 398-2988

5290 Seminole Blvd
Ste Ab
St Petersburg, FL 33708
Phone (727) 345-7172

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1831267160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5290 SEMINOLE BLVD",
            "address_2": "SUITE A & B",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337083369",
            "telephone_number": "727-398-2988",
            "fax_number": "727-398-5025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5290 SEMINOLE BLVD",
            "address_2": "SUITE A & B",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337083369",
            "telephone_number": "727-398-2988",
            "fax_number": "727-398-5025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YINGLING",
        "first_name": "GREGORY",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH 8471",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE I.D.",
            "identifier": "650831",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA LICENSE #",
            "identifier": "CH 8471",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "34975-88137Z",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST HEALTH NETWORK I.D.",
            "identifier": "G3217969",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.