Jesus Quintanilla DC, PC

Primary specialty

Rehabilitation ChiropractorTaxonomy code 111NR0400X

License

8851 Issued in TX

Legal business name

JESUS QUINTANILLA DC, PC

Doing business as

Coastal Spine & Rehab

Practice address

2727 Morgan Ave Ste 300
Corpus Christi, TX 78405-1832

Phone

(361) 882-7502

NPI assigned

Apr 10, 2008

Last updated

Apr 10, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jesus Quintanilla, DCNPI 1720187644

Title

Owner

Phone

(361) 882-7502

Specialties & licenses 1

Addresses

Other names 1

• Coastal Spine & Rehab Doing business as

Locations

Practitioners 1

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.

• Jesus Quintanilla, DC

  • Chiropractor
  • Corpus Christi, TX
  • NPI 1720187644
  NPD (past) Authorized official

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

{
    "created_epoch": "1207785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207785600000",
    "number": "1528231503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2727 MORGAN AVE STE 300",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784051832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2727 MORGAN AVE STE 300",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784051832",
            "telephone_number": "361-882-7502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JESUS QUINTANILLA DC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-10",
        "last_updated": "2008-04-10",
        "status": "A",
        "authorized_official_last_name": "QUINTANILLA",
        "authorized_official_first_name": "JESUS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "361-882-7502",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "TX",
            "license": "8851",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Coastal Spine & Rehab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Lauren Brooke Jensen, OD
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• Emmy Jiang

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2008; 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.