Organization Active NPI

Spine, Sports, & Rehab Chiropractic Care

  • Chiropractor
  • Crowley, LA
National Provider Identifier
1245880525
Registry record updated Sep 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
SPINE, SPORTS, & REHAB CHIROPRACTIC CARE
Practice address
1011 N Avenue G
Crowley, LA 70526-3733
Phone
(337) 250-4088
NPI assigned
Sep 18, 2019
Last updated
Sep 18, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2019

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

Authorized official

Name
Dr. Benjamin Arthur Penton, D.C.NPI 1225594344
Title
Owner
Phone
(337) 250-4088

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

1011 N Avenue G
Crowley, LA 70526-3733

Mailing address

1011 N Avenue G
Crowley, LA 70526-3733
Phone (337) 250-4088

National Provider Directory

National Provider Directory

Locations

1011 N Avenue G
Crowley, LA 70526
Phone (337) 250-4088

404 Westgate Rd
#B
Lafayette, LA 70506
Phone (337) 232-6000

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1568764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568764800000",
    "number": "1245880525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1011 N AVENUE G",
            "city": "CROWLEY",
            "state": "LA",
            "postal_code": "705263733",
            "telephone_number": "337-250-4088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 N AVENUE G",
            "city": "CROWLEY",
            "state": "LA",
            "postal_code": "705263733",
            "telephone_number": "337-250-4088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPINE, SPORTS, & REHAB CHIROPRACTIC CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-18",
        "last_updated": "2019-09-18",
        "status": "A",
        "authorized_official_last_name": "PENTON",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_middle_name": "ARTHUR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "337-250-4088",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crowley, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2019; 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.