Samuel L Gordon Professional Limited Liability Company

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

SAMUEL L GORDON PROFESSIONAL LIMITED LIABILITY COMPANY

Doing business as

Five Points Chiropractic

Practice address

4101 US Highway 77
M-5
Corpus Christi, TX 78410-4542

Phone

(361) 241-7451

Fax

(361) 241-7452

NPI assigned

Jun 19, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Samuel Lance Gordon, D.C.NPI 1508160334

Title

President

Phone

(361) 241-7451

Specialties & licenses 1

Addresses

Other names 1

• FIVE POINTS CHIROPRACTIC Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Samuel Lance Gordon, D.C.

  • Chiropractor
  • Corpus Christi, TX
  • NPI 1508160334
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1371600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377043200000",
    "number": "1912346354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4101 US HIGHWAY 77",
            "address_2": "M-5",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784104542",
            "telephone_number": "361-241-7451",
            "fax_number": "361-241-7452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4101 US HIGHWAY 77",
            "address_2": "M-5",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784104542",
            "telephone_number": "361-241-7451",
            "fax_number": "361-241-7452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMUEL L GORDON PROFESSIONAL LIMITED LIABILITY COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-19",
        "last_updated": "2013-08-21",
        "status": "A",
        "authorized_official_last_name": "GORDON",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "LANCE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "361-241-7451",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FIVE POINTS CHIROPRACTIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Steven Jeffrey Samson, PA-C
• Courtney Samu
• Samuel C Hartman MD PA
• Samuel Duro Oloyo, M.D.,P.a. (South Texas Medical Associates)
• Samuel Duro Oloyo, M.D.,P.a. (South Texas Medical Associates)
• San Antonio Orthotics Corporation (Nueces Prosthetics & Orthotics)
• Kishia Eileen San Gabriel
• Stacie San Pedro
• San Rafael Medical Center LLC
• San Rafael Operations Inc. (San Rafael Nursing and Rehabilitation Center)

• Chiropractor in Corpus Christi, TX
• Providers in Corpus Christi, TX by specialty
• Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2013; 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.