Active NPI
Wilton A Guillory III, D.C.
- Chiropractor
- Alexandria, LA
National Provider Identifier
1669402160
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1409
- Practice address
- 1226 Windsor PL
Alexandria, LA 71303-2748 - Phone
- (318) 487-0960
- Fax
- (318) 487-2002
- NPI assigned
- Jul 3, 2006
- Sex
- Male
- 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 | 1409 | LA | Primary |
Addresses
Primary practice location
1226 Windsor PL
Alexandria, LA 71303-2748
Mailing address
1226 Windsor PL
Alexandria, LA 71303-2748
Phone (318) 487-0960
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 2006
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
3834 Independence Dr
Alexandria, LA 71303-3533
Phone (318) 487-0960
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
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
- Alexandria, LA
- NPI 1831268333
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151884800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1198627200000",
"number": "1669402160",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1226 WINDSOR PL",
"city": "ALEXANDRIA",
"state": "LA",
"postal_code": "713032748",
"telephone_number": "318-487-0960",
"fax_number": "318-487-2002"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1226 WINDSOR PL",
"city": "ALEXANDRIA",
"state": "LA",
"postal_code": "713032748",
"telephone_number": "318-487-0960",
"fax_number": "318-487-2002"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUILLORY",
"first_name": "WILTON",
"middle_name": "A",
"name_prefix": "Dr.",
"name_suffix": "III",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-03",
"last_updated": "2007-12-26",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "LA",
"license": "1409",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Alexandria, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2007; 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.