Timothy J Gudilin, DC-CHIROPRACTOR

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC33786 Issued in CA

Practice address

Chiropractic First
3195 S. Bascom Ave
Campbell, CA 95008-6728

Phone

(408) 559-1662

Fax

(408) 559-0946

NPI assigned

Jan 15, 2019

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - West Sunnyvale, 2016

Medicare assignment

May accept Medicare assignment

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.

• Tim Gudilin Chiropractic Inc

  • Chiropractor
  • Campbell, CA
  • NPI 1518422153
  Medicare reassignment NPD Authorized official
• Ken Savage Chiropractic, Inc

  • Chiropractor
  • Campbell, CA
  • NPI 1063546000
  NPD (past)

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

{
    "created_epoch": "1547510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565913600000",
    "number": "1932673647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CHIROPRACTIC FIRST",
            "address_2": "3195 S. BASCOM AVE",
            "city": "CAMPBELL",
            "state": "CA",
            "postal_code": "950086728",
            "telephone_number": "408-559-1662",
            "fax_number": "408-559-0946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CHIROPRACTIC FIRST",
            "address_2": "3195 S. BASCOM AVE",
            "city": "CAMPBELL",
            "state": "CA",
            "postal_code": "950086728",
            "telephone_number": "408-559-1662",
            "fax_number": "408-559-0946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUDILIN",
        "first_name": "TIMOTHY",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "DC-CHIROPRACTOR",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-01-15",
        "last_updated": "2019-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC33786",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "april@chiropracticfirst.com",
            "affiliation": "N",
            "address_1": "3195 S Bascom Ave",
            "city": "Campbell",
            "state": "CA",
            "country_code": "US",
            "postal_code": "950086728",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Alecia Greenlee, MD
• Jennifer Renee Grier, MSW
• Victoria Meredith Grimm
• Hilary Gross, DC
• Samara Franz Gruye
• Andres Guerrero Sanchez
• George D Guido III, PA-C
• Maria Guido
• Sung-Sang Guo
• Xian Guo

• Chiropractor in Campbell, CA
• Providers in Campbell, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2019; 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.