Individual provider Active NPI

Courtney Gowin, D.C.

  • Chiropractor
  • Addison, TX
National Provider Identifier
1356769152
Registry record updated Mar 31, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
12550 Issued in TX
Practice address
4811 Broadway St Ste B
Addison, TX 75001-6504
Phone
(469) 249-2623
Fax
(469) 453-3336
NPI assigned
Mar 31, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 31, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 12550 TX Primary

Addresses

Primary practice location

4811 Broadway St Ste B
Addison, TX 75001-6504

Mailing address

4811 Broadway St Ste B
Addison, TX 75001-6504
Phone (469) 249-2623

Other names 1

  • Ms. Courtney Laing Former name

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
12550TXMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1396224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1396224000000",
    "number": "1356769152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4811 BROADWAY ST STE B",
            "city": "ADDISON",
            "state": "TX",
            "postal_code": "750016504",
            "telephone_number": "469-249-2623",
            "fax_number": "469-453-3336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4811 BROADWAY ST STE B",
            "city": "ADDISON",
            "state": "TX",
            "postal_code": "750016504",
            "telephone_number": "469-249-2623",
            "fax_number": "469-453-3336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOWIN",
        "first_name": "COURTNEY",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-03-31",
        "last_updated": "2014-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "12550",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "COURTNEY",
            "last_name": "LAING",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Addison, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 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.