Active NPI
David Canon Lister, D.C.
- Chiropractor
- Jennings, LA
National Provider Identifier
1194735498
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 844
- Practice address
- 214 N Church St
Jennings, LA 70546-5810 - Phone
- (337) 824-6166
- Fax
- (337) 826-6169
- NPI assigned
- Aug 9, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 844 | LA | Primary |
Addresses
Primary practice location
214 N Church St
Jennings, LA 70546-5810
Mailing address
214 N Church St
Jennings, LA 70546-5810
Phone (337) 824-6166
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jeff Davis Chiropractic Center, LLC | Chiropractor | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Chiropractor
- Jennings, LA
- NPI 1801284070
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155081600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1194735498",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "214 N CHURCH ST",
"city": "JENNINGS",
"state": "LA",
"postal_code": "705465810",
"telephone_number": "337-824-6166",
"fax_number": "337-826-6169"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "214 N CHURCH ST",
"city": "JENNINGS",
"state": "LA",
"postal_code": "705465810",
"telephone_number": "337-824-6166",
"fax_number": "337-826-6169"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LISTER",
"first_name": "DAVID",
"middle_name": "CANON",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-09",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "LA",
"license": "844",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jennings, 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.