Samuel Lance Gordon, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

11644 Issued in TX

Practice address

4101 US Highway 77
M-5
Corpus Christi, TX 78410-4542

Phone

(361) 241-7451

NPI assigned

Jan 9, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2010

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Samuel L Gordon Professional Limited Liability Company

  • Chiropractor
  • Corpus Christi, TX
  • NPI 1912346354
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1294531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427155200000",
    "number": "1508160334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4101 IH 69 ACCESS RD",
            "address_2": "M-5",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784104542",
            "telephone_number": "361-241-7451",
            "fax_number": "361-241-7452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4101 US HIGHWAY 77",
            "address_2": "M-5",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784104542",
            "telephone_number": "361-241-7451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORDON",
        "first_name": "SAMUEL",
        "middle_name": "LANCE",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-01-09",
        "last_updated": "2015-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "11644",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jegan Gopal, M.D.
• Melissa Gorbet, FNP
• Julie Gorchynski, M.D., FACEP
• Victoria Gordoa
• Cheryl D Gordon, FNP-C
• Kevin Russell Gorman
• Daniel Michael Gorsage, M.D.
• Trudy Goski, LPC, LCDC
• Paige Gottlich, RD, LD, CSPCC
• Roberta Gough-Atkins, M.S.,L.P.C.

• Chiropractor in Corpus Christi, TX
• Providers in Corpus Christi, TX by specialty
• Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.