Justin Schexnaildre, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1970 Issued in LA

Practice address

102 Fontainbleau Dr Ste D1
Mandeville, LA 70471-6519

Phone

(985) 400-5300

Fax

(985) 400-5301

NPI assigned

Nov 22, 2022

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, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Broadus Chiropractic Services, LLCGroup PAC ID 8527200567, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Networks

• LA PPO C-SNP

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.

• Broadus Chiropractic Services, LLC

  dba Spinecare Chiropractic

  • Chiropractor
  • Mandeville, LA
  • NPI 1578909206
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1669075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669075200000",
    "number": "1063121630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 FONTAINBLEAU DR STE D1",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704716519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 FONTAINBLEAU DR STE D1",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704716519",
            "telephone_number": "985-400-5300",
            "fax_number": "985-400-5301"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "58465 Tyler St Ste 15",
            "address_purpose": "LOCATION",
            "city": "Slidell",
            "state": "LA",
            "postal_code": "704613937",
            "country_code": "US",
            "telephone_number": "985-214-9172",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3829 veterans blvd",
            "address_2": "suite 101",
            "address_purpose": "LOCATION",
            "city": "Metairie",
            "state": "LA",
            "postal_code": "70002",
            "country_code": "US",
            "telephone_number": "504-302-2220",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHEXNAILDRE",
        "first_name": "JUSTIN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-11-22",
        "last_updated": "2022-11-22",
        "certification_date": "2022-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "LA",
            "license": "1970",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Mayers Saucier
• Michael Green Sawyer, PH.D.
• SBS Holdings LLC (Precision Compounding Specialist)
• Gregory L Scallon
• Charles Scher, MD
• Richelle Denese Schiro, MD
• Charles Schloss, MD
• Julie Elizabeth Schlumbrecht, LCSW
• Anthony L Schmidt Sr., MD
• Charles Anthony Schof Jr., D.D.S.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2022; 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.