NPIMap

Individual provider Active NPI

Miguel Ridgley, D. C.

  • Chiropractor
  • Harvey, LA
National Provider Identifier
1154511533
Registry record updated Jul 31, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1383 Issued in LA
Practice address
2850 Manhattan Blvd
Suite a
Harvey, LA 70058-2911
Phone
(504) 362-3000
Fax
(504) 362-3059
NPI assigned
Jul 31, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 31, 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 1383 LA Primary

Addresses

Primary practice location

2850 Manhattan Blvd
Suite a
Harvey, LA 70058-2911

Mailing address

2850 Manhattan Blvd
Suite a
Harvey, LA 70058-2911
Phone (504) 362-3000

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
1383LAMDSchool Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Family Chiropractic, LLC Chiropractor Past Accepting new patients
Van Wormer Management, LLC Chiropractor PastSince Jun 23, 2024 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": "1185840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185840000000",
    "number": "1154511533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2850 MANHATTAN BLVD",
            "address_2": "SUITE A",
            "city": "HARVEY",
            "state": "LA",
            "postal_code": "700582911",
            "telephone_number": "504-362-3000",
            "fax_number": "504-362-3059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2850 MANHATTAN BLVD",
            "address_2": "SUITE A",
            "city": "HARVEY",
            "state": "LA",
            "postal_code": "700582911",
            "telephone_number": "504-362-3000",
            "fax_number": "504-362-3059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIDGLEY",
        "first_name": "MIGUEL",
        "name_prefix": "Dr.",
        "credential": "D. C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-31",
        "last_updated": "2007-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "LA",
            "license": "1383",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harvey, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 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.