Organization Active NPI

Doctors Flynn Manceaux Arcement Pizzolato of Thibodaux a Professional

  • Chiropractor
  • Thibodaux, LA
National Provider Identifier
1043477375
Registry record updated May 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1348 Issued in LA
Legal business name
DOCTORS FLYNN MANCEAUX ARCEMENT PIZZOLATO OF THIBODAUX A PROFESSIONAL
Practice address
970 S Acadia Rd
Thibodaux, LA 70301-4978
Phone
(985) 446-2403
Fax
(985) 446-9954
NPI assigned
May 22, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2008

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

Authorized official

Name
Mrs. Devonne Francis Barron
Title
Insurance Manager
Phone
(985) 868-3136

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X 1348 LA Primary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X 1062 LA

Addresses

Primary practice location

970 S Acadia Rd
Thibodaux, LA 70301-4978

Mailing address

970 S Acadia Rd
Thibodaux, LA 70301-4978
Phone (985) 446-2403

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081024000251 LA Part B Supplier - Clinic/Group Practice 6709944499 Receives reassigned benefits from 2 practitioners
Practice locations: Thibodaux, LA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1211414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211414400000",
    "number": "1043477375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "970 S ACADIA RD",
            "city": "THIBODAUX",
            "state": "LA",
            "postal_code": "703014978",
            "telephone_number": "985-446-2403",
            "fax_number": "985-446-9954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "970 S ACADIA RD",
            "city": "THIBODAUX",
            "state": "LA",
            "postal_code": "703014978",
            "telephone_number": "985-446-2403",
            "fax_number": "985-446-9954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOCTORS FLYNN MANCEAUX ARCEMENT PIZZOLATO OF THIBODAUX A PROFESSIONAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-22",
        "last_updated": "2008-05-22",
        "status": "A",
        "authorized_official_last_name": "BARRON",
        "authorized_official_first_name": "DEVONNE",
        "authorized_official_middle_name": "FRANCIS",
        "authorized_official_title_or_position": "INSURANCE MANAGER",
        "authorized_official_telephone_number": "985-868-3136",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "LA",
            "license": "1348",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "LA",
            "license": "1062",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thibodaux, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2008; 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.