Frederic Ryan Gonzales, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1515 Issued in LA

Practice address

903 W Thomas St
Hammond, LA 70401-3037

Phone

(985) 542-6400

Fax

(985) 542-6403

NPI assigned

Feb 1, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Purser Chiropractic LLC.

  • Chiropractor
  • Ponchatoula, LA
  • NPI 1578192753
  NPD (past)

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

{
    "created_epoch": "1201824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311638400000",
    "number": "1891973848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "903 W THOMAS ST",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704013037",
            "telephone_number": "985-542-6400",
            "fax_number": "985-542-6403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "903 W THOMAS ST",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704013037",
            "telephone_number": "985-542-6400",
            "fax_number": "985-542-6403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALES",
        "first_name": "FREDERIC",
        "middle_name": "RYAN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-02-01",
        "last_updated": "2011-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH9469",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "LA",
            "license": "1515",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gloss Enterprise
• Gloss Enterprise, LLC
• Gloss Enterprise, LLC
• Kayla Elizabeth Glover, MSN, FNP-C
• Cliff Anthony Gomez, MS, CCC-SLP
• Leonard John Gonzales Jr., CRNA
• Katelynn Gonzalez
• Ashley Renee Goode
• Johnice Gordon
• Robyn Marie Gordon

• Chiropractor in Hammond, LA
• Providers in Hammond, LA by specialty
• Chiropractor in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2011; 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.