Individual provider Active NPI

Gavin Thomas Guarisco, D.C.

  • Chiropractor
  • Morgan City, LA
National Provider Identifier
1962559971
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
837 Issued in LA
Practice address
2403 6TH St
Morgan City, LA 70380-1105
Phone
(985) 384-6604
Fax
(985) 384-6604
NPI assigned
Jan 4, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 837 LA Primary

Addresses

Primary practice location

2403 6TH St
Morgan City, LA 70380-1105

Mailing address

2403 6TH St
Morgan City, LA 70380-1105
Phone (985) 384-6604

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Franklin Chiropractic Clinic, Incorporated Chiropractor PastSince Aug 9, 2004 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1962559971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2403 6TH ST",
            "city": "MORGAN CITY",
            "state": "LA",
            "postal_code": "703801105",
            "telephone_number": "985-384-6604",
            "fax_number": "985-384-6604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2403 6TH ST",
            "city": "MORGAN CITY",
            "state": "LA",
            "postal_code": "703801105",
            "telephone_number": "985-384-6604",
            "fax_number": "985-384-6604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUARISCO",
        "first_name": "GAVIN",
        "middle_name": "THOMAS",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "LA",
            "license": "837",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morgan City, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.