Active NPI
Philip G Gilman, DC
- Chiropractor
- Eagan, MN
National Provider Identifier
1962551259
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1783
- Practice address
- 1964 Rahncliff CT
Suite 600
Eagan, MN 55122-3003 - Phone
- (651) 681-8199
- NPI assigned
- Jan 9, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 1783 | MN | Primary |
Addresses
Primary practice location
1964 Rahncliff CT
Suite 600
Eagan, MN 55122-3003
Mailing address
1964 Rahncliff CT
Suite 600
Eagan, MN 55122-3003
Phone (651) 681-8199
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1783 | Other | MN | LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1783 | MN | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168300800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1247702400000",
"number": "1962551259",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1964 RAHNCLIFF CT",
"address_2": "SUITE 600",
"city": "EAGAN",
"state": "MN",
"postal_code": "551223003",
"telephone_number": "651-681-8199"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1964 RAHNCLIFF CT",
"address_2": "SUITE 600",
"city": "EAGAN",
"state": "MN",
"postal_code": "551223003",
"telephone_number": "651-681-8199"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GILMAN",
"first_name": "PHILIP",
"middle_name": "G",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-09",
"last_updated": "2009-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MN",
"license": "1783",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "1783",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Eagan, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.