Deridder Chiropractic, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1516 Issued in LA

Legal business name

DERIDDER CHIROPRACTIC, LLC

Doing business as

DeRidder Chiropractic

Practice address

1945 Hwy 190 W.
Deridder, LA 70634-6030

Phone

(337) 462-3055

Fax

(337) 462-0741

NPI assigned

Jul 11, 2008

Last updated

Dec 5, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Erik Lewis Bailey, D.C.NPI 1548492010

Title

Owner/ President

Phone

(337) 462-0741

Specialties & licenses 1

Addresses

Other names 1

• DeRidder Chiropractic Doing business as

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Locations

Practitioners 2

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.

• Erik Lewis Bailey, D.C.

  • Chiropractor
  • Deridder, LA
  • NPI 1548492010
  Medicare reassignment Authorized official
• Holly R Guidry, D.C.

  • Chiropractor
  • Deridder, LA
  • NPI 1871733964
  NPD (past)

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

{
    "created_epoch": "1215734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701734400000",
    "number": "1013171776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1945 HWY 190 W.",
            "city": "DERIDDER",
            "state": "LA",
            "postal_code": "706346030",
            "telephone_number": "337-462-3055",
            "fax_number": "337-462-0741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1945 HWY 190 W.",
            "city": "DERIDDER",
            "state": "LA",
            "postal_code": "706346030",
            "telephone_number": "337-462-3055",
            "fax_number": "337-462-0741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DERIDDER CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-11",
        "last_updated": "2023-12-05",
        "status": "A",
        "authorized_official_last_name": "BAILEY",
        "authorized_official_first_name": "ERIK",
        "authorized_official_middle_name": "LEWIS",
        "authorized_official_title_or_position": "OWNER/ PRESIDENT",
        "authorized_official_telephone_number": "337-462-0741",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "LA",
            "license": "1516",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DeRidder Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "DeRidder Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dallas Day, PMHNP-BC
• Kati Dooley Day, APRN, CPNP-PC
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• Deridder Medical Equipment Supply
• Deridder Optical LLC
• Deridder Retirement & Rehabilitation Center, LLC (DeRidder Retirement & Rehabilitation Center)
• Kristin Denise Derossett, PHARM.D.
• Dimaggio Family Eye Care, Inc.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2023; 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.