Active NPI
Cardinal Chiropractic
- Pediatric Chiropractor
- Bridge City, TX
National Provider Identifier
1053734202
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Chiropractor
- License
- 12187
- Legal business name
- CARDINAL CHIROPRACTIC
- Practice address
- 490 Texas Ave
Bridge City, TX 77611-4222 - Phone
- (409) 738-3359
- NPI assigned
- Jan 23, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Richard W Guillory Jr., D.C.
- Title
- Doctor
- Phone
- (409) 738-3359
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutrition Chiropractor | 111NN1001X | 12195 | TX | |
| Pediatric Chiropractor | 111NP0017X | 12187 | TX | Primary |
Addresses
Primary practice location
490 Texas Ave
Bridge City, TX 77611-4222
Mailing address
490 Texas Ave
Bridge City, TX 77611-4222
Phone (409) 738-3359
National Provider Directory
National Provider DirectoryLocations
490 Texas Ave
Bridge City, TX 77611
Phone (409) 738-3359
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1390435200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1390435200000",
"number": "1053734202",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "490 TEXAS AVE",
"city": "BRIDGE CITY",
"state": "TX",
"postal_code": "776114222",
"telephone_number": "409-738-3359"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "490 TEXAS AVE",
"city": "BRIDGE CITY",
"state": "TX",
"postal_code": "776114222",
"telephone_number": "409-738-3359"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CARDINAL CHIROPRACTIC",
"organizational_subpart": "NO",
"enumeration_date": "2014-01-23",
"last_updated": "2014-01-23",
"status": "A",
"authorized_official_last_name": "GUILLORY",
"authorized_official_first_name": "RICHARD",
"authorized_official_middle_name": "W",
"authorized_official_title_or_position": "DOCTOR",
"authorized_official_telephone_number": "409-738-3359",
"authorized_official_name_prefix": "Dr.",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111NN1001X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Chiropractor, Nutrition",
"state": "TX",
"license": "12195",
"primary": false
},
{
"code": "111NP0017X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Chiropractor, Pediatric Chiropractor",
"state": "TX",
"license": "12187",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bridge City, TX
- Brytni Nicole Borel, AUD.
- Bridge City Family Dentistry, PLLC (Bridge City Family Dentistry)
- Bridge City Isd
- Bridge City Occupational Rehabilitation and Pain Management, Inc. (Bridge City Physical Therapy and Pain Management)
- Bridge City Pharmacy LLC (Bridge City Family Pharmacy)
- Henok Chichiso
- Yooshun Chung, DMD
- David O Olson, DDS, PC
- Dr. Heidi B. Doucet P.L.L.C.
- Roderick John Fisette, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.