Thrive Family Chiropractic and Nutrition, PLLC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

THRIVE FAMILY CHIROPRACTIC AND NUTRITION, PLLC

Doing business as

Thrive Chiropractic and Regenerative Medicine

Practice address

6356 Phelan Blvd
Beaumont, TX 77706-6150

Phone

(409) 347-8606

Fax

(409) 420-3086

NPI assigned

May 19, 2017

Last updated

Oct 14, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Tiffany A Coronado, DC, PHARM DNPI 1366763187

Title

Owner

Phone

(409) 347-8606

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Thrive Chiropractic and Regenerative Medicine Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Tiffany April Coronado, DC, PHARMD

  • Chiropractor
  • Beaumont, TX
  • NPI 1366763187
  Medicare reassignment Care Compare group NPD Authorized official
• Joseph Clark, DC

  • Chiropractor
  • Beaumont, TX
  • NPI 1528880614
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1495152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665705600000",
    "number": "1093242125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6356 PHELAN BLVD",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777066150",
            "telephone_number": "409-347-8606",
            "fax_number": "409-420-3086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6356 PHELAN BLVD",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777066150",
            "telephone_number": "409-347-8606",
            "fax_number": "409-420-3086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THRIVE FAMILY CHIROPRACTIC AND NUTRITION, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-19",
        "last_updated": "2022-10-14",
        "certification_date": "2022-10-14",
        "status": "A",
        "authorized_official_last_name": "CORONADO",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "409-347-8606",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC, PHARM D"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "587017",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Thrive Chiropractic and Regenerative Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nancy B Thompson, RN MSW LCSW LMPT
• Earle Stephen Thornhill, M.D.
• Curtis Doyle Thorpe, M.D.
• Three M Home Health LLC (Amazing Angels Home Health)
• Three M Hospice Care LLC (Amazing Angels Hospice)
• Sandy Thwin, MD
• Linda D Tice
• Jessica Tillman
• Garrett Landiss Timmerman II, R.PH.
• Timothy K. Colgan MD PA

• Physical Medicine & Rehabilitation Physician in Beaumont, TX
• Providers in Beaumont, TX by specialty
• Physical Medicine & Rehabilitation Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.