Marlie Gillis, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2022047955 Issued in MO

Practice address

340 Westover Rd
Whiteman Air Force Base, MO 65305-1222

Phone

(906) 399-1681

NPI assigned

Mar 28, 2023

Sex

Female

Sole proprietor

No

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.

• Stephens Chiropractic LLC

  • Chiropractor
  • Warrensburg, MO
  • NPI 1962706598
  Medicare reassignment NPD
• Spirit Chiropractic LLC

  • Chiropractor
  • Whiteman Air Force Base, MO
  • NPI 1003638149
  NPD Authorized official
• Stephens Chiropractic Inc

  • Chiropractor
  • Warrensburg, MO
  • NPI 1053510578
  NPD (past)

Medicare fee-for-service enrollment

Enrolled in MO

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 28, 2024.

{
    "created_epoch": "1679961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730073600000",
    "number": "1902500531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 144",
            "city": "KNOB NOSTER",
            "state": "MO",
            "postal_code": "653360144",
            "telephone_number": "906-399-1681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 WESTOVER RD",
            "city": "WHITEMAN AIR FORCE BASE",
            "state": "MO",
            "postal_code": "653051222",
            "telephone_number": "906-399-1681"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "340 Westover Rd",
            "address_purpose": "LOCATION",
            "city": "Whiteman Air Force Base",
            "state": "MO",
            "postal_code": "653051222",
            "country_code": "US",
            "telephone_number": "906-399-1681",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GILLIS",
        "first_name": "MARLIE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-28",
        "last_updated": "2024-10-28",
        "certification_date": "2024-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2022047955",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ramon Rey Bello, L.M.F.T.
• Kyle B Bland
• James Clinton Coffidis, LCSW
• Skye Couvrette, DO
• April Fox, PTA
• Angela Heck, LCSW
• Arthur Hickson, MD
• Kathareeya Medeiros, PA-C
• Jason Allen Miller, IDMT
• Shawn Hamilton Miranda, PA-C

• All providers in Whiteman Air Force Base, MO
• Chiropractor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.