Keenan J Gilpin, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038.012622 Issued in IL

Practice address

2700 W Lawrence Ave
Suite J-4
Springfield, IL 62704-1181

Phone

(217) 546-6698

Fax

(217) 546-4487

NPI assigned

May 22, 2014

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Specialty

Chiropractic

Education

Logan College of Chiropractic, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

GNR Chiropractic LLCGroup PAC ID 9739441718, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• GNR Chiropractic LLC

  dba Westside Pain Clinic

  • Chiropractor
  • Springfield, IL
  • NPI 1134637382
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1400716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400716800000",
    "number": "1922410026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 W LAWRENCE AVE",
            "address_2": "SUITE J-4",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627041181",
            "telephone_number": "217-546-6698",
            "fax_number": "217-546-4487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 W LAWRENCE AVE",
            "address_2": "SUITE J-4",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627041181",
            "telephone_number": "217-546-6698",
            "fax_number": "217-546-4487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILPIN",
        "first_name": "KEENAN",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-05-22",
        "last_updated": "2014-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038.012622",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Claudine Gillison
• Timothy L Gillison, MD
• Brittni Gilman, DPT
• Amaretta Marie Gilmer, M.S. CCC-SLP
• Ambrielle Elizabeth Gilmer
• Donna Givens, RN,MA,LCPC
• Sonja M Glad, M.A., NCC, LCPC
• Tara S Glasgow, CRNA
• Patricia Jordan Glasscock, CRNA
• Ralph Glasser, MD

• Chiropractor in Springfield, IL
• Providers in Springfield, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2014; 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.