Organization Active NPI

Dna Chiropractic LLC

  • Chiropractor
  • Mandeville, LA
National Provider Identifier
1255502357
Registry record updated Jul 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1464 Issued in LA
Legal business name
DNA CHIROPRACTIC LLC
Practice address
235 W Florida St
Mandeville, LA 70448-3056
Phone
(985) 626-7795
Fax
(985) 626-7462
NPI assigned
Mar 17, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2008

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

Authorized official

Name
Derek Stratton, DCNPI 1972773109
Title
Co-Owner
Phone
(985) 626-7795

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 1464 LA Primary

Addresses

Primary practice location

235 W Florida St
Mandeville, LA 70448-3056

Mailing address

235 W Florida St
Mandeville, LA 70448-3056
Phone (985) 626-7795

National Provider Directory

National Provider Directory

Locations

613 Paul Maillard Rd
Ste 300
Luling, LA 70070
Phone (985) 722-7486

235 W Florida St
Mandeville, LA 70448
Phone (985) 626-7795

Practitioners & affiliated clinicians

Practitioners 2

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": "1205712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215561600000",
    "number": "1255502357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 W FLORIDA ST",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704483056",
            "telephone_number": "985-626-7795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 W FLORIDA ST",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704483056",
            "telephone_number": "985-626-7795",
            "fax_number": "985-626-7462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DNA CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-17",
        "last_updated": "2008-07-09",
        "status": "A",
        "authorized_official_last_name": "STRATTON",
        "authorized_official_first_name": "DEREK",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "985-626-7795",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "LA",
            "license": "1464",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mandeville, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.