CARDINAL CHIROPRACTIC (NPI# 1053734202) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053734202 |
| Entity Type | Organization |
| Organization Name | CARDINAL CHIROPRACTIC |
| Practice Address |
490 Texas Ave Bridge City TX 77611-4222 |
| Practice Telephone | 4097383359 |
| Mailing Telephone | 4097383359 |
| Enumeration Date | 2014-01-23 |
| Last Update Date | 2014-01-23 |
| Authorized Official Name | DR. RICHARD W GUILLORY JR. (DOCTOR) |
| Authorized Official Telephone | 4097383359 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 111NN1001X |
Chiropractor Specialization: Nutrition |
12195 | TX | Chiropractic Providers |
| Y | 111NP0017X |
Chiropractor Specialization: Pediatric Chiropractor |
12187 | TX | Chiropractic Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Iowa Business Entities | CARDINAL CHIROPRACTIC LLC | 2367 Kelling, Davenport, IA 52804 |
| Oregon Corporations, Companies and Business Names | CARDINAL CHIROPRACTIC, P.C. | 7240 Ne Sandy Blvd, Portland, OR 97213 |
| Street Address |
490 TEXAS AVE |
| City | BRIDGE CITY |
| State | TX |
| Zip Code | 77611-4222 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427550730 | Lan Thi Pham | Licensed Vocational Nurse | 840 Delaware Dr, Bridge City, TX 77611 | 2018-03-02 |
| 1548716442 | Sara L. Lewis, Csfa, LLC | Physician Assistant | 820 W Round Bunch Rd, Bridge City, TX 77611 | 2016-08-30 |
| 1417382664 | John A Peterson | Nurse Practitioner | 610 Stickland, Suite 320, Orange, TX 77611 | 2013-09-06 |
| 1407144363 | Yooshun Chung | Student in an Organized Health Care Education/Training Program | 1860 Texas Avenue, Bridge City, TX 77611 | 2011-07-13 |
| 1063588796 | Daniel A Crain | Family Medicine | 960 W Roundbunch Rd, Bridge City, TX 77611 | 2006-11-27 |
| 1144233388 | Jerry R Stone | Pharmacist | 1160 Texas Ave, Bridge City, TX 77611 | 2006-08-15 |
| 1679587034 | Scott Ballard | Chiropractor | 2158 Texas Avenue, Bridge City, TX 77611 | 2006-07-28 |
| 1457809907 | Sara Lewis | Physician Assistant | 820 W Round Bunch Rd, Bridge City, TX 77611 | 2016-09-13 |
| 1093165870 | April Cockerham | Nurse Practitioner | 179 Tiger Lily St, Bridge City, TX 77611-2223 | 2016-06-13 |
| 1053736652 | Golden Triangle First Assisting, Pllc | Registered Nurse | 825 Carolina Dr, Bridge City, TX 77611-2309 | 2014-02-19 |
| Find all providers in zip 77611 | ||||
| Taxonomy Code | 111NP0017X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| Specialization | Pediatric Chiropractor |
| The Pediatric Chiropractor is a chiropractor with specialized, advanced training and certification in the evaluation, care and management of health and wellness conditions of infancy, childhood and adolescence. This specialist provides primary, comprehensive, therapeutic and preventative chiropractic health care for newborns through adolescents. |
| Notes: Source: Council on Chiropractic Pediatrics, American Chiropractic Association, 2007 [1/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023508827 | Whole Life Family Wellness, LLC | Chiropractor | 113 N Ballard Ave Ste A, Wylie, TX 75098-4494 | 2018-05-16 |
| 1740727114 | Darya Ilushin | Chiropractor | 4305 Windsor Centre Trl Ste 100, Flower Mound, TX 75028 | 2017-01-24 |
| 1457808297 | Katherine Melot | Chiropractor | 105 Westhaven Dr, West Lake Hills, TX 78746-4440 | 2016-09-09 |
| 1154711703 | Tedra Kay Erickson | Chiropractor | 19002 Mission Park Dr Apt 926, Richmond, TX 77407-3112 | 2015-02-03 |
| 1396135265 | With Purpose Health & Wellness Center | Chiropractor | 1858 E. Keller Pkwy, Suite C, Keller, TX 76248-3757 | 2015-01-30 |
| 1760871248 | Whitney Mullins | Chiropractor | 4310 Gaston Ave, Suite 200, Dallas, TX 75246-1312 | 2015-01-21 |
| 1518383207 | Kimberly Mullen Dc Pllc | Chiropractor | 2305 Donley Dr Ste 106, Austin, TX 78758-4535 | 2014-03-05 |
| 1033417100 | Thien Duc Dinh | Chiropractor | 2505 N Belt Line Rd, Sunnyvale, TX 75182-9385 | 2011-03-14 |
| 1821326968 | Dawn Vlier Bush | Chiropractor | 20121 W Lake Houston Pkwy Ste 1600, Humble, TX 77346-3548 | 2009-12-01 |
| 1730415688 | Mbks LLC | Chiropractor | 6111 Tezel Rd Suite 101, San Antonio, TX 78250 | 2009-10-28 |
| Find all providers with the same taxonomy | ||||
| City | BRIDGE CITY |
| Zip Code | 77611 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.