Active NPI
Jill Denise Gerard, D. C.
- Chiropractor
- South Daytona, FL
National Provider Identifier
1831276351
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH7941
- Practice address
- 915 Big Tree Rd
South Daytona, FL 32119-2517 - Phone
- (386) 756-0934
- Fax
- (386) 756-0973
- NPI assigned
- Nov 1, 2006
- Sex
- Female
- 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 | CH7941 | FL | Primary |
Addresses
Primary practice location
915 Big Tree Rd
South Daytona, FL 32119-2517
Mailing address
2014 Magnolia Ave
South Daytona, FL 32119-2553
Phone (386) 756-0934
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 |
|---|---|---|---|
| CH7941 | FL | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chiromed Chiropractic Center, Inc | Chiropractor | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Chiropractor
- Tampa, FL
- NPI 1073568572
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1831276351",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2014 MAGNOLIA AVE",
"city": "SOUTH DAYTONA",
"state": "FL",
"postal_code": "321192553",
"telephone_number": "386-756-0934",
"fax_number": "386-756-0973"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "915 BIG TREE RD",
"city": "SOUTH DAYTONA",
"state": "FL",
"postal_code": "321192517",
"telephone_number": "386-756-0934",
"fax_number": "386-756-0973"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GERARD",
"first_name": "JILL",
"middle_name": "DENISE",
"name_prefix": "Dr.",
"credential": "D. C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "FL",
"license": "CH7941",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in South Daytona, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.