GATEWAY CHIROPRACTIC - SOUTH SHORE PLLC
NPI 1629260179
Chiropractor in Webster, TX

Q: What is Gateway Chiropractic - South Shore PLLC's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Active since August 17, 2007

380A GREEN WING ST, WEBSTER, TX 77598(281) 334-9300(281) 334-9301 Get Directions Write a Review

NPPES record last updated: August 17, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Gateway Chiropractic - South Shore Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GATEWAY CHIROPRACTIC - SOUTH SHORE PLLC (NPI 1629260179) is a healthcare organization registered as a chiropractor in Webster, Texas and active in the NPI registry since August 2007. The organization lists John W Fulkman, President, as its authorized official.

NPPES Registry Identity

NPI1629260179

Entity TypeOrganization

Primary Taxonomy111N00000X

Legal Business NameGATEWAY CHIROPRACTIC - SOUTH SHORE PLLC

Location Address380A GREEN WING STWebster, TX 77598-2331

Mailing Address380a Green Wing StWebster, TX 77598-2331 · (281) 334-9300 · Fax (281) 334-9301

Phone(281) 334-9300

Fax(281) 334-9301

Organization SubpartNo

Authorized OfficialJohn W FulkmanPresident · (281) 334-9300

Enumeration DateAugust 17, 2007

Last NPPES UpdateAugust 17, 2021

NPPES CertifiedAugust 17, 2021

✔ NPI 1629260179 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers

Taxonomy Code111N00000X

License✔ Licensed in TX · 9354

Definition

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

380A GREEN WING ST, Webster, TX 77598

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Gateway Chiropractic - South Shore Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 2 clinicians reassign Medicare billing to Gateway Chiropractic - South Shore PLLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

John Fulkman, D.C.

Chiropractic

NPI 1790755973

380A GREEN WING ST
Webster, TX 77598

(281) 334-9300

✔ Accepts MedicareSame address

Kai Borgstrom, D.C., C.C.S.P.

Chiropractic

NPI 1821220435

3033 MARINA BAY DR SUITE 200
League City, TX 77573

(281) 334-9300

✔ Accepts Medicare8.9 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gateway Chiropractic - South Shore PLLC's NPI number?

The NPI number for Gateway Chiropractic - South Shore PLLC is 1629260179. It was assigned to this organization in the NPPES registry on August 17, 2007.

Where is Gateway Chiropractic - South Shore PLLC located?

Gateway Chiropractic - South Shore PLLC is located at 380A Green Wing St, Webster, TX 77598. The listed phone number is (281) 334-9300.

What is Gateway Chiropractic - South Shore PLLC's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Gateway Chiropractic - South Shore PLLC enrolled in Medicare?

Yes. Gateway Chiropractic - South Shore PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Gateway Chiropractic - South Shore PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Chiropractic, reassign their Medicare billing to Gateway Chiropractic - South Shore PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Gateway Chiropractic - South Shore PLLC was last updated on August 17, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.