Individual provider Active NPI

David Christopher Edwards, D.C.

  • Chiropractor
  • Metairie, LA
National Provider Identifier
1083750400
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1082 Issued in MS
Practice address
4033 Veterans Memorial Blvd
Suite D
Metairie, LA 70002-5525
Phone
(504) 324-5617
Fax
(504) 324-5618
NPI assigned
Jan 30, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1364 LA
Chiropractor 111N00000X 1082 MS Primary
Sports Physician Chiropractor 111NS0005X 1364 LA

Addresses

Primary practice location

4033 Veterans Memorial Blvd
Suite D
Metairie, LA 70002-5525

Mailing address

4033 Veterans Memorial Blvd
Suite D
Metairie, LA 70002-5525
Phone (504) 324-5617

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1082MSMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Russo Chiropractic Clinic Chiropractor CurrentSince Aug 19, 2008 Accepting new patients
Dr. Debbi Barrett-Hannan Chiropractor Past Accepting new patients

Locations

4033 Veterans Memorial Blvd
Ste D
Metairie, LA 70002
Phone (504) 324-5617

Networks

  • LA PPO C-SNP

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1083750400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4033 VETERANS MEMORIAL BLVD",
            "address_2": "SUITE D",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700025525",
            "telephone_number": "504-324-5617",
            "fax_number": "504-324-5618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4033 VETERANS MEMORIAL BLVD",
            "address_2": "SUITE D",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700025525",
            "telephone_number": "504-324-5617",
            "fax_number": "504-324-5618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "DAVID",
        "middle_name": "CHRISTOPHER",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-30",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "LA",
            "license": "1364",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MS",
            "license": "1082",
            "primary": true
        },
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "LA",
            "license": "1364",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Metairie, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.