Organization Active NPI

Guarisco Clinic of Chiropractic

  • Preferred Provider Organization
  • Morgan City, LA
National Provider Identifier
1417204454
Registry record updated Aug 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
License
837 Issued in LA
Legal business name
GUARISCO CLINIC OF CHIROPRACTIC
Practice address
2403 6TH St
Morgan City, LA 70380-1105
Phone
(985) 384-6604
Fax
(985) 384-6613
NPI assigned
Aug 9, 2012
Last updated
Aug 9, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2012

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

Authorized official

Name
Dr. Gavin Thomas Guarisco, D.C.NPI 1962559971
Title
Owner
Phone
(985) 384-6604

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Preferred Provider Organization 305R00000X 837 LA Primary

Addresses

Primary practice location

2403 6TH St
Morgan City, LA 70380-1105

Mailing address

2403 6TH St
Morgan City, LA 70380-1105
Phone (985) 384-6604

National Provider Directory

National Provider Directory

Locations

2403 6th St
Morgan City, LA 70380
Phone (985) 384-6604

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1344470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344470400000",
    "number": "1417204454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2403 6TH ST",
            "city": "MORGAN CITY",
            "state": "LA",
            "postal_code": "703801105",
            "telephone_number": "985-384-6604",
            "fax_number": "985-384-6613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2403 6TH ST",
            "city": "MORGAN CITY",
            "state": "LA",
            "postal_code": "703801105",
            "telephone_number": "985-384-6604",
            "fax_number": "985-384-6613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUARISCO CLINIC OF CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-09",
        "last_updated": "2012-08-09",
        "status": "A",
        "authorized_official_last_name": "GUARISCO",
        "authorized_official_first_name": "GAVIN",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "985-384-6604",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "LA",
            "license": "837",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morgan City, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2012; 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.