Chiglo Chiropractic PLLC
Organization Active NPI Chiropractor · Groesbeck, TX
NPI 1679201743 · NPPES record last updated May 12, 2025
Key facts
- NPI
- 1679201743
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- Legal business name
- CHIGLO CHIROPRACTIC PLLC
- Practice address
- 105 N Ellis St
Groesbeck, TX 76642-1308 - Phone
- (254) 729-2500
- NPI assigned
- Aug 8, 2022
- Organization subpart
- No
Authorized official
- Name
- Christopher Ty Chiglo, DC
- Title
- Owner
- Phone
- (254) 729-2500
Practitioners 2
-
Christopher Ty Chiglo, D.C.
-
Kathileen Riley Boozer, CFNP
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240313003029 | TX | Part B Supplier - Clinic/Group Practice | 7214373158 |
Receives reassigned benefits from 1 practitioner Practice locations: Groesbeck, TX |
National Provider Directory
Locations
105 N Ellis St
Groesbeck, TX 76642
Phone (254) 729-2500
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | Yes |
Addresses
Primary practice location
105 N Ellis St
Groesbeck, TX 76642-1308
Mailing address
105 N Ellis St
Groesbeck, TX 76642-1308
Phone (254) 729-2500
Other providers in Groesbeck, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 12, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.