Organization Active NPI

Nancy J. Dominick, LTD

Doing business as Care Chiropractic Clinic

  • Chiropractor
  • Mandeville, LA
National Provider Identifier
1255545422
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
591 Issued in LA
Legal business name
NANCY J. DOMINICK, LTD
Doing business as
Care Chiropractic Clinic
Practice address
2201 11TH St
Suite 1
Mandeville, LA 70471-1848
Phone
(985) 626-4422
Fax
(985) 626-1190
NPI assigned
May 9, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Nancy Dominick Gravel, D.C.
Title
Chiropractor
Phone
(985) 626-4422

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 591 LA Primary

Addresses

Primary practice location

2201 11TH St
Suite 1
Mandeville, LA 70471-1848

Mailing address

2201 11TH St
Suite 1
Mandeville, LA 70471-1848
Phone (985) 626-4422

Other names 1

  • Care Chiropractic Clinic Doing business as

National Provider Directory

National Provider Directory

Locations

2201 11th St
Ste 1
Mandeville, LA 70471
Phone (985) 626-4422

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": "1178668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1255545422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2201 11TH ST",
            "address_2": "SUITE 1",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704711848",
            "telephone_number": "985-626-4422",
            "fax_number": "985-626-1190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 11TH ST",
            "address_2": "SUITE 1",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704711848",
            "telephone_number": "985-626-4422",
            "fax_number": "985-626-1190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NANCY J. DOMINICK, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GRAVEL",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "DOMINICK",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "985-626-4422",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "LA",
            "license": "591",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Care Chiropractic Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 22, 2020; 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.