Organization Active NPI

John E Daigle Apmc

  • Chiropractor
  • Lafayette, LA
National Provider Identifier
1124228044
Registry record updated Jan 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
884 Issued in LA
Legal business name
JOHN E DAIGLE APMC
Practice address
345 Doucet Rd
Suite 104B
Lafayette, LA 70503-3488
Phone
(337) 989-0800
Fax
(337) 989-0867
NPI assigned
Jul 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2013

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

Authorized official

Name
Dr. John E Daigle, DCNPI 1487682019
Title
Owner
Phone
(337) 989-0800

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 884 LA Primary

Addresses

Primary practice location

345 Doucet Rd
Suite 104B
Lafayette, LA 70503-3488

Mailing address

345 Doucet Rd
Suite 104B
Lafayette, LA 70503-3488
Phone (337) 989-0800

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040109000876 LA Part B Supplier - Clinic/Group Practice 1456251172 Receives reassigned benefits from 1 practitioner
Practice locations: Lafayette, LA

National Provider Directory

National Provider Directory

Locations

345 Doucet Rd
Ste 104B
Lafayette, LA 70503
Phone (337) 989-0800

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1184803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357516800000",
    "number": "1124228044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "345 DOUCET RD",
            "address_2": "SUITE 104B",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705033488",
            "telephone_number": "337-989-0800",
            "fax_number": "337-989-0867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 DOUCET RD",
            "address_2": "SUITE 104B",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705033488",
            "telephone_number": "337-989-0800",
            "fax_number": "337-989-0867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN E DAIGLE APMC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-19",
        "last_updated": "2013-01-07",
        "status": "A",
        "authorized_official_last_name": "DAIGLE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "337-989-0800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "LA",
            "license": "884",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2013; 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.