Individual provider Active NPI

Beatrice Babula Kilguss, D.C.

  • Chiropractor
  • Desoto, TX
National Provider Identifier
1386636124
Registry record updated Jun 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
TX6376 Issued in TX
Practice address
101 S Lyndalyn Ave
Desoto, TX 75115-5709
Phone
(972) 223-2433
Fax
(972) 223-7290
NPI assigned
Aug 18, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 3, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X TX6376 TX Primary

Addresses

Primary practice location

101 S Lyndalyn Ave
Desoto, TX 75115-5709

Mailing address

101 S Lyndalyn Ave
Desoto, TX 75115-5709
Phone (972) 223-2433

Other identifiers 3

IdentifierTypeStateIssuer
P00064426OtherTXMEDICARE RAILROAD NUMBER
0007PU GROUPOtherTXBCBS GROUP ID #
8AD876 SOLO#OtherTXBCBS SOLO#

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
TX6376TXMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Beatrice B. Kilguss DC Chiropractor CurrentSince Jan 1, 1990 Accepting new patients

Locations

101 S Lyndalyn Ave
Desoto, TX 75115
Phone (972) 223-2433

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": "1124323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717372800000",
    "number": "1386636124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 S LYNDALYN AVE",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "751155709",
            "telephone_number": "972-223-2433",
            "fax_number": "972-223-7290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 S LYNDALYN AVE",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "751155709",
            "telephone_number": "972-223-2433",
            "fax_number": "972-223-7290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KILGUSS",
        "first_name": "BEATRICE",
        "middle_name": "BABULA",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-08-18",
        "last_updated": "2024-06-03",
        "certification_date": "2024-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "TX6376",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD NUMBER",
            "identifier": "P00064426",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP ID #",
            "identifier": "0007PU GROUP",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS SOLO#",
            "identifier": "8AD876 SOLO#",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Desoto, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2024; 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.