Gulf Coast Chiropractic

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC4793 Issued in TX

Legal business name

GULF COAST CHIROPRACTIC

Practice address

2855 Eastex Fwy
Suite E
Beaumont, TX 77706-3065

Phone

(409) 899-2300

Fax

(409) 898-2273

NPI assigned

Oct 25, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Ashley Elizabeth Montalbano

Title

Office Manager

Phone

(409) 899-2300

Specialties & licenses 1

Addresses

Other identifiers 4

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

{
    "created_epoch": "1193270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409616000000",
    "number": "1144409277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2855 EASTEX FWY",
            "address_2": "SUITE E",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777063065",
            "telephone_number": "409-899-2300",
            "fax_number": "409-898-2273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2855 EASTEX FWY",
            "address_2": "SUITE E",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777063065",
            "telephone_number": "409-899-2300",
            "fax_number": "409-898-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GULF COAST CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-25",
        "last_updated": "2014-09-02",
        "status": "A",
        "authorized_official_last_name": "MONTALBANO",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "409-899-2300",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "DC4793",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPIN",
            "identifier": "T20051",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE LINK",
            "identifier": "8120051",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "120013101",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "80V913",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brittany Marie Guillory, D.C.
• Carol Devera Guillory, OTR
• Jessie Guillory
• Lacresha Guillory
• Valerie Ann Guillory
• Gulf Coast Medical Evaluations
• Gulf Coast Regional Health Services
• Gulfside Dental
• Gulfside Dental - Old Town PLLC
• Virginia (Ginger) Silloway Gummelt, PHD, LCSW

• Chiropractor in Beaumont, TX
• Providers in Beaumont, TX by specialty
• Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 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.

Verify at the official NPI Registry.