Shreveport Chiropractic

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1264 Issued in LA

Legal business name

SHREVEPORT CHIROPRACTIC

Practice address

1845 Line Ave
Shreveport, LA 71101-4611

Phone

(318) 429-9494

Fax

(318) 429-9492

NPI assigned

Jun 18, 2008

Last updated

Jun 18, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Grady Michael Stimits, D.C.NPI 1558401695

Title

Owner - Operator

Phone

(318) 429-9494

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Grady Michael Stimits, DC

  • Occupational Health Chiropractor
  • Shreveport, LA
  • NPI 1558401695
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1213747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213747200000",
    "number": "1245491695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1845 LINE AVE",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711014611",
            "telephone_number": "318-429-9494",
            "fax_number": "318-429-9492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1845 LINE AVE",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711014611",
            "telephone_number": "318-429-9494",
            "fax_number": "318-429-9492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHREVEPORT CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-18",
        "last_updated": "2008-06-18",
        "status": "A",
        "authorized_official_last_name": "STIMITS",
        "authorized_official_first_name": "GRADY",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER - OPERATOR",
        "authorized_official_telephone_number": "318-429-9494",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "LA",
            "license": "1264",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD OF LOUISIANA",
            "identifier": "4362770100",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shreveport Anesthesia Providers LLC
• Shreveport Anesthesia Services
• Shreveport Aquatic and Land Physical Therapy. LLC
• Shreveport Behavioral Health Clinic
• Shreveport Center for Oral and Facial Surgery, L.L.C.
• Shreveport Diabetic Shoes,LLC
• Shreveport Doctors Hospital 2003, LTD.
• Shreveport Doctors' Hospital
• Shreveport Doctors' Hospital
• Shreveport Endoscopy Center, a Medical Corporation

• Chiropractor in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Chiropractor in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2008; 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.