Individual provider Active NPI

Joseph A Livergood, D.C.

  • Chiropractor
  • Lake Charles, LA
National Provider Identifier
1013299676
Registry record updated Sep 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1614 Issued in LA
Practice address
730 Bayou Pines East Dr Ste a
Lake Charles, LA 70601-7494
Phone
(337) 433-7551
NPI assigned
Sep 9, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1614 LA Primary

Addresses

Primary practice location

730 Bayou Pines East Dr Ste a
Lake Charles, LA 70601-7494

Mailing address

730 Bayou Pines East Dr Ste a
Lake Charles, LA 70601-7494
Phone (337) 433-7551

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120118000466 LA Practitioner - Chiropractic 1456528397 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Joseph a. Livergood, DC, LLCGroup PAC ID 4486985512, 2 clinicians

Practice addresses (Care Compare)

640 Dr Michael Debakey Dr
Lake Charles, LA 70601-5727
Phone (337) 433-7551

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1614LAMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Joseph a Livergood, DC, LLC Chiropractor CurrentSince May 14, 2019 Accepting new patients
Neck and Back Institute of Swla, Inc. Chiropractor CurrentSince Dec 11, 2011 Accepting new patients

Locations

730 Bayou Pines East Dr
Ste A
Lake Charles, LA 70601
Phone (318) 491-9213

640 Dr Michael Debakey Dr
Lake Charles, LA 70601
Phone (337) 433-7551

Networks

  • TX HMO
  • MS PPO D-SNP
  • MS PPO C-SNP
  • MS PPO
  • TX HMO D-SNP

Organizations & group practices 2

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": "1315526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315526400000",
    "number": "1013299676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "730 BAYOU PINES EAST DR STE A",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706017494",
            "telephone_number": "337-433-7551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 BAYOU PINES EAST DR STE A",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706017494",
            "telephone_number": "337-433-7551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIVERGOOD",
        "first_name": "JOSEPH",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-09-09",
        "last_updated": "2011-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "LA",
            "license": "1614",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Charles, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.