Organization Active NPI

Multidisciplinary Associates, Inc.

  • Rehabilitation Chiropractor
  • Slidell, LA
National Provider Identifier
1225200199
Registry record updated Mar 31, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
License
828 Issued in LA
Legal business name
MULTIDISCIPLINARY ASSOCIATES, INC.
Practice address
2250 Gause Blvd E
Suite 302
Slidell, LA 70461-4235
Phone
(985) 643-9332
Fax
(985) 643-9285
NPI assigned
Mar 31, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2008

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

Authorized official

Name
Dr. Robert Joseph Beck, MADCNPI 1235272030
Title
President
Phone
(985) 643-9332

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
Rehabilitation ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NR0400X 828 LA Primary

Addresses

Primary practice location

2250 Gause Blvd E
Suite 302
Slidell, LA 70461-4235

Mailing address

2250 Gause Blvd E
Suite 302
Slidell, LA 70461-4235
Phone (985) 643-9332

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110112000787 LA Part B Supplier - Clinic/Group Practice 8123217775 Receives reassigned benefits from 1 practitioner
Practice locations: Slidell, LA

National Provider Directory

National Provider Directory

Locations

2250 Gause Blvd E
Ste 302
Slidell, LA 70461
Phone (504) 643-9332

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": "1206921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206921600000",
    "number": "1225200199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2250 GAUSE BLVD E",
            "address_2": "SUITE 302",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704614235",
            "telephone_number": "985-643-9332",
            "fax_number": "985-643-9285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2250 GAUSE BLVD E",
            "address_2": "SUITE 302",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704614235",
            "telephone_number": "985-643-9332",
            "fax_number": "985-643-9285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MULTIDISCIPLINARY ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-31",
        "last_updated": "2008-03-31",
        "status": "A",
        "authorized_official_last_name": "BECK",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "985-643-9332",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MADC"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": "LA",
            "license": "828",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Slidell, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2008; 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.