Jennifer Gambino, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

5541 Issued in NC

Practice address

728 Village Rd
Shallotte, NC 28470-3412

Phone

(910) 755-5400

NPI assigned

Sep 26, 2022

Sex

Female

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 NC

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Coastal Carolina ChiropracticGroup PAC ID 5395780860, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Coastal Carolina Chiropractic

  dba Coastal Integrative Health

  • Chiropractor
  • Shallotte, NC
  • NPI 1922178722
  Medicare reassignment Care Compare group
• Coastal Carolina Chiropractic

  dba Coastal Integrative Health

  • Orthopedic Physical Therapist
  • Shallotte, NC
  • NPI 1720497019
  NPD

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

{
    "created_epoch": "1664150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664150400000",
    "number": "1710600630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "728 VILLAGE RD",
            "city": "SHALLOTTE",
            "state": "NC",
            "postal_code": "284703412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "728 VILLAGE RD",
            "city": "SHALLOTTE",
            "state": "NC",
            "postal_code": "284703412",
            "telephone_number": "910-755-5400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAMBINO",
        "first_name": "JENNIFER",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-26",
        "last_updated": "2022-09-26",
        "certification_date": "2022-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "5541",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pamela S Franco, PT
• Kathleen Franzen, PT, DPT
• Joshua Frazer
• Frederick a. Williams,DMD , PA
• Nicole Marie French, FNP-BC
• Scott Christopher Ganucheau, MSPAS, PA-C, ATC
• Heather Garavelli, PT
• Tessa Jean Gardner, LCSWA, LCASA
• Marshall Bruce Garris, M.ED., LPC
• Geeson, Rooks & Associates DDS II PA (Complete Dental Shallotte)

• Chiropractor in Shallotte, NC
• Providers in Shallotte, NC by specialty
• Chiropractor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2022; 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.