Gateway Chiropractic - South Shore PLLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

9354 Issued in TX

Legal business name

GATEWAY CHIROPRACTIC - SOUTH SHORE PLLC

Practice address

380A Green Wing St
Webster, TX 77598-2331

Phone

(281) 334-9300

Fax

(281) 334-9301

NPI assigned

Aug 17, 2007

Organization subpart

No

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

Authorized official

Name

Dr. John W Fulkman III, D.C.NPI 1790755973

Title

President

Phone

(281) 334-9300

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• John William Fulkman III, D.C.

  • Chiropractor
  • Webster, TX
  • NPI 1790755973
  Medicare reassignment Authorized official
• Kai Borgstrom, D.C., C.C.S.P.

  • Chiropractor
  • League City, TX
  • NPI 1821220435
  Medicare reassignment
• Andrew Reid Flick, DC

  • Chiropractor
  • Houston, TX
  • NPI 1629077920
  NPD (past)
• Maxie Vige, D.C.

  • Chiropractor
  • Dickinson, TX
  • NPI 1043222904
  NPD (past)
• Nolan Jay Wheeler, D.C.

  • Rehabilitation Chiropractor
  • Spring, TX
  • NPI 1578754883
  NPD (past)

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

{
    "created_epoch": "1187308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629158400000",
    "number": "1629260179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "380A GREEN WING ST",
            "city": "WEBSTER",
            "state": "TX",
            "postal_code": "775982331",
            "telephone_number": "281-334-9300",
            "fax_number": "281-334-9301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "380A GREEN WING ST",
            "city": "WEBSTER",
            "state": "TX",
            "postal_code": "775982331",
            "telephone_number": "281-334-9300",
            "fax_number": "281-334-9301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GATEWAY CHIROPRACTIC - SOUTH SHORE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-17",
        "last_updated": "2021-08-17",
        "certification_date": "2021-08-17",
        "status": "A",
        "authorized_official_last_name": "FULKMAN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "281-334-9300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "9354",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adrianna Garza, DPT
• Erika J Garza, DO
• Jamie Frugia Garza, RN, NP
• Jose Luis Garza Jr., SLP/A, M.S. ED
• Lynette Gascoigne, BS, RCS, RVT
• Israt Jahan Gazi, D.O
• Samreen Gazi, MS, LPC-A
• Generational Women'S Health PA
• Samuel Sajimon George, MD
• Sarah George

• Chiropractor in Webster, TX
• Providers in Webster, TX by specialty
• Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.