Individual provider Active NPI

Courtney John Stroebel, D.C.

  • Chiropractor
  • Metairie, LA
National Provider Identifier
1114100229
Registry record updated Dec 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
853 Issued in LA
Practice address
2614 David Dr
Metairie, LA 70003-4510
Phone
(504) 885-2225
Fax
(504) 885-2225
NPI assigned
Dec 11, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 11, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 853 LA Primary

Addresses

Primary practice location

2614 David Dr
Metairie, LA 70003-4510

Mailing address

2614 David Dr
Metairie, LA 70003-4510
Phone (504) 885-2225

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
853LAMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1197331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197331200000",
    "number": "1114100229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2614 DAVID DR",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700034510",
            "telephone_number": "504-885-2225",
            "fax_number": "504-885-2225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2614 DAVID DR",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700034510",
            "telephone_number": "504-885-2225",
            "fax_number": "504-885-2225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STROEBEL",
        "first_name": "COURTNEY",
        "middle_name": "JOHN",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-12-11",
        "last_updated": "2007-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "LA",
            "license": "853",
            "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 Dec 11, 2007; 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.