Organization Active NPI

San Gabriel Chiropractic PA

  • Chiropractor
  • Georgetown, TX
National Provider Identifier
1346463916
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
8363 Issued in TX
Legal business name
SAN GABRIEL CHIROPRACTIC PA
Practice address
3010 Williams Dr
Ste. 21
Georgetown, TX 78628-2764
Phone
(512) 869-0432
Fax
(512) 869-0375
NPI assigned
Apr 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Whitney Rob Kinslow, D.C.
Title
Director
Phone
(512) 869-0432

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 8363 TX Primary

Addresses

Primary practice location

3010 Williams Dr
Ste. 21
Georgetown, TX 78628-2764

Mailing address

3010 Williams Dr
Ste. 21
Georgetown, TX 78628-2764
Phone (512) 869-0432

Other names 1

  • Lone Star Chiropractic Doing business as

National Provider Directory

National Provider Directory

Locations

3010 Williams Dr
Ste 21
Georgetown, TX 78628
Phone (512) 869-0432

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1346463916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3010 WILLIAMS DR",
            "address_2": "STE. 21",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786282764",
            "telephone_number": "512-869-0432",
            "fax_number": "512-869-0375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3010 WILLIAMS DR",
            "address_2": "STE. 21",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786282764",
            "telephone_number": "512-869-0432",
            "fax_number": "512-869-0375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN GABRIEL CHIROPRACTIC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KINSLOW",
        "authorized_official_first_name": "WHITNEY",
        "authorized_official_middle_name": "ROB",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "512-869-0432",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "8363",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lone Star Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Georgetown, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.