Gregory D. Monroe, Chiropractic, Inc.

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

GREGORY D. MONROE, CHIROPRACTIC, INC.

Practice address

511 W Visalia Rd
Exeter, CA 93221-1019

Phone

(559) 592-3124

Fax

(559) 592-2457

NPI assigned

Oct 12, 2005

Organization subpart

No

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

Authorized official

Name

Mrs. Nancy Lou Suta

Title

Manager

Phone

(559) 592-3124

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Monroe Chiropractic Clinic Doing business as

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

{
    "created_epoch": "1129075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315872000000",
    "number": "1053309161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "511 W VISALIA RD",
            "city": "EXETER",
            "state": "CA",
            "postal_code": "932211019",
            "telephone_number": "559-592-3124",
            "fax_number": "559-592-2457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 W VISALIA RD",
            "city": "EXETER",
            "state": "CA",
            "postal_code": "932211019",
            "telephone_number": "559-592-3124",
            "fax_number": "559-592-2457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREGORY D. MONROE, CHIROPRACTIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-12",
        "last_updated": "2011-09-13",
        "status": "A",
        "authorized_official_last_name": "SUTA",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "LOU",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "559-592-3124",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "ZZZ04559Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Monroe Chiropractic Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mason Chadwick Goldbaum
• Lori Anne Gomez, MHRS
• Jouston Taylor Gonzales
• Edith Gonzalez-Bravo
• Cristina Gonzalez
• Guardian Clinical Services
• Vanessa Guillen
• Martina Gutierrez, STUDENT
• Cynthia L Hamerslagh, PTA
• Shannon Hanson, MFT TRAINEE

• All providers in Exeter, CA
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2011; 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.