NPIMap

Organization Active NPI

Kingrey Chiropractic LLC

Doing business as Eastman-Kingrey Clinic

  • Chiropractor
  • Westlake, LA
National Provider Identifier
1104237585
Registry record updated May 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
KINGREY CHIROPRACTIC LLC
Doing business as
Eastman-Kingrey Clinic
Practice address
902 Sampson St
Westlake, LA 70669-5311
Phone
(337) 436-3145
NPI assigned
May 19, 2014
Last updated
May 19, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2014

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

Authorized official

Name
Dr. Charles Kingrey, D.C.NPI 1376954024
Title
Owner
Phone
(337) 436-3145

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

902 Sampson St
Westlake, LA 70669-5311

Mailing address

PO Box 277
Westlake, LA 70669-0277

Other names 1

  • Eastman-Kingrey Clinic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150318000799 LA Part B Supplier - Clinic/Group Practice 9133446883 Receives reassigned benefits from 2 practitioners
Practice locations: Westlake, LA

National Provider Directory

National Provider Directory

Locations

1306 Sampson St
#A
Westlake, LA 70669
Phone (337) 436-3145

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1400457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400457600000",
    "number": "1104237585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 277",
            "city": "WESTLAKE",
            "state": "LA",
            "postal_code": "706690277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "902 SAMPSON ST",
            "city": "WESTLAKE",
            "state": "LA",
            "postal_code": "706695311",
            "telephone_number": "337-436-3145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINGREY CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-19",
        "last_updated": "2014-05-19",
        "status": "A",
        "authorized_official_last_name": "KINGREY",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "337-436-3145",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eastman-Kingrey Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Westlake, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.