Individual provider Active NPI

James Allen Wiseman, D.C.

  • Chiropractor
  • Bossier City, LA
National Provider Identifier
1154410462
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
422 Issued in LA
Practice address
3018 Old Minden Rd
Suite 1203
Bossier City, LA 71112-2446
Phone
(318) 747-5855
Fax
(318) 746-0417
NPI assigned
Oct 12, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 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 422 LA Primary

Addresses

Primary practice location

3018 Old Minden Rd
Suite 1203
Bossier City, LA 71112-2446

Mailing address

3018 Old Minden Rd
Suite 1203
Bossier City, LA 71112-2446
Phone (318) 747-5855

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)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Bossier Chiropractic Center LLC Chiropractor PastSince Jul 21, 2024 Accepting new patients
Bossier City Chiropractic Center Chiropractor PastSince Jun 20, 1981 Accepting new patients

Organizations & group practices 2

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": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1154410462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3018 OLD MINDEN RD",
            "address_2": "SUITE 1203",
            "city": "BOSSIER CITY",
            "state": "LA",
            "postal_code": "711122446",
            "telephone_number": "318-747-5855",
            "fax_number": "318-746-0417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3018 OLD MINDEN RD",
            "address_2": "SUITE 1203",
            "city": "BOSSIER CITY",
            "state": "LA",
            "postal_code": "711122446",
            "telephone_number": "318-747-5855",
            "fax_number": "318-746-0417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WISEMAN",
        "first_name": "JAMES",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "LA",
            "license": "422",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bossier City, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.