Individual provider Active NPI

Scott Ford Gillman, DC DAC BSP

  • Chiropractor
  • Natick, MA
National Provider Identifier
1922109669
Registry record updated Oct 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1547 Issued in MA
Practice address
209 W Central St Ste 220
Natick, MA 01760-3716
Phone
(508) 650-1091
Fax
(508) 650-1563
NPI assigned
Sep 26, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 4, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1547 MA Primary

Addresses

Primary practice location

209 W Central St Ste 220
Natick, MA 01760-3716

Mailing address

209 W Central St Ste 220
Natick, MA 01760-3716
Phone (508) 650-1091

Other identifiers 1

IdentifierTypeStateIssuer
1610309MedicaidMA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060511000230 MA Practitioner - Chiropractic 5698786135 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

209 W Central St
Suite 220
Natick, MA 01760-3716
Phone (508) 650-1091

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1547MAMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Gillman Chiropractic, PC CurrentSince Jan 1, 2011 Accepting new patients

Locations

251 W Central St
Ste 6
Natick, MA 01760
Phone (508) 650-1091

209 W Central St
Ste 220
Natick, MA 01760
Phone (508) 650-1091

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.

NPI Registry JSON

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664841600000",
    "number": "1922109669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 W CENTRAL ST STE 220",
            "city": "NATICK",
            "state": "MA",
            "postal_code": "017603716",
            "telephone_number": "508-650-1091",
            "fax_number": "508-650-1563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 W CENTRAL ST STE 220",
            "city": "NATICK",
            "state": "MA",
            "postal_code": "017603716",
            "telephone_number": "508-650-1091",
            "fax_number": "508-650-1563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILLMAN",
        "first_name": "SCOTT",
        "middle_name": "FORD",
        "name_prefix": "Dr.",
        "credential": "DC DAC BSP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-26",
        "last_updated": "2022-10-04",
        "certification_date": "2022-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MA",
            "license": "1547",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1610309",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Natick, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2022; 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.