Active NPI
Spinal Innovations & Rehab, LLC
- Rehabilitation Chiropractor
- Shreveport, LA
National Provider Identifier
1154513273
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Chiropractor
- License
- LA1117
- Legal business name
- SPINAL INNOVATIONS & REHAB, LLC
- Practice address
- 7330 Fern Ave
Suite 303
Shreveport, LA 71105-4971 - Phone
- (318) 798-5557
- Fax
- (318) 798-5558
- NPI assigned
- Aug 13, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. John Allen Thompson, DC
- Title
- Chiropractic Physician, President
- Phone
- (318) 798-5557
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Chiropractor | 111NR0400X | LA1117 | LA | Primary |
Addresses
Primary practice location
7330 Fern Ave
Suite 303
Shreveport, LA 71105-4971
Mailing address
7330 Fern Ave
Suite 303
Shreveport, LA 71105-4971
Phone (318) 798-5557
Other names 1
- Spinal Innovations
National Provider Directory
National Provider DirectoryLocations
7330 Fern Ave
Ste 303
Shreveport, LA 71105
Phone (318) 218-1075
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": "1186963200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1186963200000",
"number": "1154513273",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7330 FERN AVE",
"address_2": "SUITE 303",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711054971",
"telephone_number": "318-798-5557",
"fax_number": "318-798-5558"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7330 FERN AVE",
"address_2": "SUITE 303",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711054971",
"telephone_number": "318-798-5557",
"fax_number": "318-798-5558"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SPINAL INNOVATIONS & REHAB, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-08-13",
"last_updated": "2007-08-13",
"status": "A",
"authorized_official_last_name": "THOMPSON",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "ALLEN",
"authorized_official_title_or_position": "CHIROPRACTIC PHYSICIAN, PRESIDENT",
"authorized_official_telephone_number": "318-798-5557",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111NR0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor, Rehabilitation",
"state": "LA",
"license": "LA1117",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Spinal Innovations",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Shreveport, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 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.