Individual provider Active NPI

Gary D. Callioni, D.C.

  • Chiropractor
  • Crescent Springs, KY
National Provider Identifier
1851311336
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4038 Issued in KY
Practice address
618 Buttermilk Pike
Crescent Springs, KY 41017-1381
Phone
(859) 331-9566
NPI assigned
Jul 20, 2006
Last updated
Jul 9, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 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 4038 KY Primary

Addresses

Primary practice location

618 Buttermilk Pike
Crescent Springs, KY 41017-1381

Mailing address

618 Buttermilk Pike
Crescent Springs, KY 41017-1381
Phone (859) 331-9566

Other identifiers 2

IdentifierTypeStateIssuer
000000032625OtherKYBLUE CROSS BLUE SHIELD
85000925MedicaidKY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060111000148 KY Practitioner - Chiropractic 9436172913 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Lincoln Chiropractic College, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Falmouth Chiropractic Center PLLCGroup PAC ID 5991870008, 3 clinicians

Practice addresses (Care Compare)

726 Robbins Ave
Falmouth, KY 41040-1518
Phone (859) 654-1797

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4038KYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Falmouth Chiropractic Center PLLC Chiropractor CurrentSince Mar 5, 2024 Accepting new patients
Meadowland Healing Arts PLLC Chiropractor PastSince Mar 5, 2024 Accepting new patients

Locations

726 Robbins Ave
Falmouth, KY 41040
Phone (859) 635-6800

726 Robbins Ave
Ste 1
Falmouth, KY 41040

Organizations & group practices 2

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": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1851311336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "618 BUTTERMILK PIKE",
            "city": "CRESCENT SPRINGS",
            "state": "KY",
            "postal_code": "410171381",
            "telephone_number": "859-331-9566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "618 BUTTERMILK PIKE",
            "city": "CRESCENT SPRINGS",
            "state": "KY",
            "postal_code": "410171381",
            "telephone_number": "859-331-9566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALLIONI",
        "first_name": "GARY",
        "middle_name": "D.",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-20",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KY",
            "license": "4038",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "000000032625",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "85000925",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Crescent Springs, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.