Tony Banguilan, D.C.

Primary specialty

Rehabilitation ChiropractorTaxonomy code 111NR0400X

License

CHIR006452 Issued in GA

Practice address

960 Herrington Rd
Suite B
Lawrenceville, GA 30044-7212

Phone

(770) 963-5585

Fax

(770) 682-7636

NPI assigned

Jun 19, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Decatur Neck and Back

  • Rehabilitation Chiropractor
  • Lawrenceville, GA
  • NPI 1780880302

  Rehabilitation

  NPD Authorized official
• Alternative Health Solutions PC

  • Chiropractor
  • Elizabeth City, NC
  • NPI 1407919962
  NPD (past)

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

{
    "created_epoch": "1182211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1275738296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "960 HERRINGTON RD",
            "address_2": "SUITE B",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300447212",
            "telephone_number": "770-963-5585",
            "fax_number": "770-682-7636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "960 HERRINGTON RD",
            "address_2": "SUITE B",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300447212",
            "telephone_number": "770-963-5585",
            "fax_number": "770-682-7636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANGUILAN",
        "first_name": "TONY",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "GA",
            "license": "CHIR006452",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ramya Sree Banala, MD
• Elena Ecaterina Banciu
• Christopher Banerjee, MD, MPH
• Jenny Bang, PHARMD
• Stephanie Banguilan, HCHI
• Ramon Russell Banister, PHARMD
• Modupe Banjoh, RN
• Josephine Lola Banjoko
• Maya Banks
• Shanterri Banks

• All providers in Lawrenceville, GA
• Rehabilitation Chiropractor in Georgia

• 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.