Organization Active NPI

JDH Management LLC

  • Chiropractor
  • West Monroe, LA
National Provider Identifier
1083173470
Registry record updated Aug 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
JDH MANAGEMENT LLC
Practice address
410 N 7TH St
West Monroe, LA 71291-4108
Phone
(318) 303-6142
Fax
(318) 855-8453
NPI assigned
Mar 15, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2022

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

Authorized official

Name
Dr. Dallas Humble, DCNPI 1356869069
Title
President
Phone
(318) 237-6396

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

410 N 7TH St
West Monroe, LA 71291-4108

Mailing address

410 N 7TH St
West Monroe, LA 71291-4108
Phone (318) 303-6142

Other names 1

  • Louisiana Accident & Injury Care Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221010001898 LA Part B Supplier - Clinic/Group Practice 3375929698 Receives reassigned benefits from 4 practitioners
Practice locations: Tallulah, LA; West Monroe, LA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
19D2236857Louisiana Accident & Injury Care410 North 7TH, West Monroe, LA 71291Certificate of waiverSep 20, 2027

National Provider Directory

National Provider Directory

Locations

403 N 6th St
Ste 9
West Monroe, LA 71291
Phone (318) 303-6142

403 N 6th St
Ste 8
West Monroe, LA 71291
Phone (318) 303-6142

Practitioners & affiliated clinicians

Practitioners 5

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": "1552608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660608000000",
    "number": "1083173470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 N 7TH ST",
            "city": "WEST MONROE",
            "state": "LA",
            "postal_code": "712914108",
            "telephone_number": "318-303-6142",
            "fax_number": "318-855-8453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 N 7TH ST",
            "city": "WEST MONROE",
            "state": "LA",
            "postal_code": "712914108",
            "telephone_number": "318-303-6142",
            "fax_number": "318-855-8453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JDH MANAGEMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-15",
        "last_updated": "2022-08-16",
        "certification_date": "2022-08-16",
        "status": "A",
        "authorized_official_last_name": "HUMBLE",
        "authorized_official_first_name": "DALLAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "318-237-6396",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Louisiana Accident & Injury Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Louisiana Accident & Injury Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in West Monroe, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 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.