Active NPI
Ruben Gayon, D.C.
- Chiropractor
- Canton, IL
National Provider Identifier
1902089485
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 038011070
- Practice address
- 162 E Chestnut St
Canton, IL 61520-2769 - Phone
- (309) 649-8000
- NPI assigned
- Dec 7, 2007
- Last updated
- Sep 20, 2011
- Sex
- Male
- Sole proprietor
- Yes
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 | 038011070 | IL | Primary |
Addresses
Primary practice location
162 E Chestnut St
Canton, IL 61520-2769
Mailing address
162 E Chestnut St
Canton, IL 61520-2769
Phone (309) 649-8000
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 |
|---|---|---|---|
| 038011070 | IL | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1196985600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1316476800000",
"number": "1902089485",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "162 E CHESTNUT ST",
"city": "CANTON",
"state": "IL",
"postal_code": "615202769",
"telephone_number": "309-649-8000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "162 E CHESTNUT ST",
"city": "CANTON",
"state": "IL",
"postal_code": "615202769",
"telephone_number": "309-649-8000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAYON",
"first_name": "RUBEN",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-12-07",
"last_updated": "2011-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IL",
"license": "038011070",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Canton, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.