Active NPI
Beatrice Babula Kilguss, D.C.
- Chiropractor
- Desoto, TX
National Provider Identifier
1386636124
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- TX6376
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00064426 | Other | TX | MEDICARE RAILROAD NUMBER |
| 0007PU GROUP | Other | TX | BCBS GROUP ID # |
| 8AD876 SOLO# | Other | TX | BCBS 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
| License | State | Type | Specialty |
|---|---|---|---|
| TX6376 | TX | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr. Beatrice B. Kilguss DC | Chiropractor | Current | 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.
-
- Chiropractor
- Desoto, TX
- NPI 1497872618
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.