Jake M Gary, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1600 Issued in LA

Practice address

1833 E Main St
New Iberia, LA 70560-4045

Phone

(337) 367-7463

Fax

(337) 367-7461

NPI assigned

May 2, 2011

Last updated

Dec 31, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Specialty

Chiropractic

Education

Life Chiropractic College, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Clark Integrated Medical Clinics LLCGroup PAC ID 8022372598, 12 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Clark Integrated Medical Clinics LLC

  dba Clark Integrated Medical Clinics

  • General Practice Physician
  • Lafayette, LA
  • NPI 1124529284

  Chiropractor

  Medicare reassignment Care Compare group NPD
• Louisiana Brain Injury Specialists, LLC

  • Neurology Physician
  • Lafayette, LA
  • NPI 1912870924
  NPD

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

{
    "created_epoch": "1304294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609372800000",
    "number": "1033400585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1833 E MAIN ST",
            "city": "NEW IBERIA",
            "state": "LA",
            "postal_code": "705604045",
            "telephone_number": "337-367-7463",
            "fax_number": "337-367-7461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1833 E MAIN ST",
            "city": "NEW IBERIA",
            "state": "LA",
            "postal_code": "705604045",
            "telephone_number": "337-367-7463",
            "fax_number": "337-367-7461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARY",
        "first_name": "JAKE",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-05-02",
        "last_updated": "2020-12-31",
        "certification_date": "2020-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "LA",
            "license": "1600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tiffany Ralet Gaines, SLP
• Gannon Medical Services, LLC
• Joe M. Gannon, MD
• Jesus Rene Garcia, MD
• Kirston Gardner
• Wayne J Gary II, D.D.S.
• Nicole Latour Gaspard, RD
• Demeitra Gasper
• Gauthier Medical and Wellness
• Cathy Chapman Gauthier, OT

• Chiropractor in New Iberia, LA
• Providers in New Iberia, LA by specialty
• Chiropractor in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2020; 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.