Kaleb Deshotel, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1724 Issued in LA

Practice address

2626 Country Club Rd
Lake Charles, LA 70605-5912

Phone

(337) 990-5497

Fax

(337) 990-5570

NPI assigned

Sep 4, 2014

Sex

Male

Sole proprietor

Yes

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

Other, 2014

Medicare assignment

May accept Medicare assignment

Group practices

Chiropractic Health Services, LLCGroup PAC ID 5294825238, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Chiropractic Health Services, LLC

  • Chiropractor
  • West Monroe, LA
  • NPI 1518008226
  Medicare reassignment Care Compare group NPD Authorized official
• Ward Chiropractic

  • Chiropractor
  • Lake Charles, LA
  • NPI 1033553680
  NPD (past)

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

{
    "created_epoch": "1409788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409788800000",
    "number": "1093116451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2626 COUNTRY CLUB RD",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706055912",
            "telephone_number": "337-990-5497",
            "fax_number": "337-990-5570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2626 COUNTRY CLUB RD",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706055912",
            "telephone_number": "337-990-5497",
            "fax_number": "337-990-5570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESHOTEL",
        "first_name": "KALEB",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-09-04",
        "last_updated": "2014-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "LA",
            "license": "1724",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dependable Rides L.L.C.
• Miguel A Depuy, M.D.
• Dermatology Associates of Swla LLC
• Casey Derouen
• Scott P Derouen, DC
• Emery R Desonier, PT
• Reba Desonier, DPT
• Andrew Desormeaux
• Ashley Desormeaux, FNP
• Kaitlin Desselle

• Chiropractor in Lake Charles, LA
• Providers in Lake Charles, LA by specialty
• Chiropractor in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2014; 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.