Kellie Jean Gillis, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2301009040 Issued in MI

Practice address

8 S 11TH St
Gladstone, MI 49837-1504

Phone

(906) 428-2225

Fax

(906) 428-9778

NPI assigned

Jul 18, 2006

Last updated

Nov 29, 2016By the provider in NPPES

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Family Roots Chiropractic

  • Chiropractor
  • Gladstone, MI
  • NPI 1265199517
  NPD (past)
• Wisconsin Michigan Physicians, SC

  • Durable Medical Equipment & Medical Supplies
  • Mequon, WI
  • NPI 1992274260
  NPD (past)

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480377600000",
    "number": "1962421289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 S 11TH ST",
            "city": "GLADSTONE",
            "state": "MI",
            "postal_code": "498371504",
            "telephone_number": "906-428-2225",
            "fax_number": "906-428-9778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 S 11TH ST",
            "city": "GLADSTONE",
            "state": "MI",
            "postal_code": "498371504",
            "telephone_number": "906-428-2225",
            "fax_number": "906-428-9778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILLIS",
        "first_name": "KELLIE",
        "middle_name": "JEAN",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-18",
        "last_updated": "2016-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301009040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Margo Irene Fairbanks, D.C.
• Family Roots Chiropractic
• G Scott Kelly DDS PC
• Gallery B Smiles
• Dana Gehlhausen, L.AC.
• Gladstone Eye Care PC
• Gladstone Pharmacy Inc. (Gladstone Pharmacy)
• Justin Grabowski
• Ned James Hall, R.PH.
• Daniel John Howes, P.T.

• Chiropractor in Gladstone, MI
• Providers in Gladstone, MI by specialty
• Chiropractor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.