NPIMap

Organization Active NPI

Advanced Medical and Chiropractic

  • General Practice Physician
  • Lake Charles, LA
National Provider Identifier
1023565009
Registry record updated Sep 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
MD.018335 Issued in LA
Legal business name
ADVANCED MEDICAL AND CHIROPRACTIC
Practice address
1528 E Prien Lake Rd
Ste B
Lake Charles, LA 70601-8978
Phone
(337) 479-2057
Fax
(337) 479-2099
NPI assigned
Sep 7, 2016
Last updated
Sep 7, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2016

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

Authorized official

Name
Mrs. Lauren E Dunn-Perrin
Title
Office Manager
Phone
(337) 479-2057

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 1330 LA
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X MD.018335 LA Primary

Addresses

Primary practice location

1528 E Prien Lake Rd
Ste B
Lake Charles, LA 70601-8978

Mailing address

1528 E Prien Lake Rd
Ste B
Lake Charles, LA 70601-8978
Phone (337) 479-2057

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1473206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473206400000",
    "number": "1023565009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1528 E PRIEN LAKE RD",
            "address_2": "STE B",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706018978",
            "telephone_number": "337-479-2057",
            "fax_number": "337-479-2099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1528 E PRIEN LAKE RD",
            "address_2": "STE B",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706018978",
            "telephone_number": "337-479-2057",
            "fax_number": "337-479-2099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED MEDICAL AND CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-07",
        "last_updated": "2016-09-07",
        "status": "A",
        "authorized_official_last_name": "DUNN-PERRIN",
        "authorized_official_first_name": "LAUREN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "337-479-2057",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "LA",
            "license": "1330",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "LA",
            "license": "MD.018335",
            "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 7, 2016; 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.