Individual provider Active NPI

Christopher Michael Lizana, DC

  • Chiropractor
  • Metairie, LA
National Provider Identifier
1093222671
Registry record updated Jan 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1808 Issued in LA
Practice address
2404 Edenborn Ave
Metairie, LA 70001-1817
Phone
(504) 833-2225
NPI assigned
Jan 4, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 4, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1808 LA Primary

Addresses

Primary practice location

2404 Edenborn Ave
Metairie, LA 70001-1817

Mailing address

2 Greenbriar Dr
Covington, LA 70433-4540
Phone (985) 373-5003

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180822002054 LA Practitioner - Chiropractic 2567711609 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Stewart B. Fresh, DC, LLCGroup PAC ID 6305026378, 2 clinicians

Practice addresses (Care Compare)

9 Starbrush Cir
Suite 201
Covington, LA 70433-7246
Phone (985) 259-7774

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1808LAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Stewart B. Fresh, DC, LLC Chiropractor CurrentSince Jan 1, 2020 Accepting new patients
Elite Rehab Nola Chiropractor Past Accepting new patients
American Back Institute of Greater New Orleans Inc Chiropractor Past Accepting new patients

Locations

9 Starbrush Cir
Ste 201
Covington, LA 70433
Phone (985) 259-7774

2480 N Causeway Blvd
Mandeville, LA 70471
Phone (985) 634-1112

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1515024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1515024000000",
    "number": "1093222671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 GREENBRIAR DR",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704334540",
            "telephone_number": "985-373-5003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2404 EDENBORN AVE",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700011817",
            "telephone_number": "504-833-2225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIZANA",
        "first_name": "CHRISTOPHER",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-01-04",
        "last_updated": "2018-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "LA",
            "license": "1808",
            "primary": true
        }
    ],
    "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 Jan 4, 2018; 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.