Individual provider Active NPI

Timothy Ray Gulsby, DC

  • Chiropractor
  • Sarasota, FL
National Provider Identifier
1093873960
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH7325 Issued in FL
Practice address
205 Montgomery Ave
2
Sarasota, FL 34243-1500
Phone
(941) 351-0004
Fax
(941) 351-6264
NPI assigned
Dec 4, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH7325 FL Primary

Addresses

Primary practice location

205 Montgomery Ave
2
Sarasota, FL 34243-1500

Mailing address

205 Montgomery Ave
2
Sarasota, FL 34243-1500
Phone (941) 351-0004

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
CH7325FLMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Spinal Solutions Chiropractic and Wellness Chiropractor Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1093873960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 MONTGOMERY AVE",
            "address_2": "2",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342431500",
            "telephone_number": "941-351-0004",
            "fax_number": "941-351-6264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 MONTGOMERY AVE",
            "address_2": "2",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342431500",
            "telephone_number": "941-351-0004",
            "fax_number": "941-351-6264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GULSBY",
        "first_name": "TIMOTHY",
        "middle_name": "RAY",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH7325",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.