Organization Active NPI

Oak Tree Chiropractic

Doing business as Metairie Chiropractic & Rehab

  • Chiropractor
  • Metairie, LA
National Provider Identifier
1255872172
Registry record updated Aug 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1647 Issued in LA
Legal business name
OAK TREE CHIROPRACTIC
Doing business as
Metairie Chiropractic & Rehab
Practice address
5037 Veterans Memorial Blvd
2F
Metairie, LA 70006-5136
Phone
(504) 510-4222
NPI assigned
Mar 10, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2020

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

Authorized official

Name
Benjamin Tekippe, D.C.
Title
Owner
Phone
(504) 510-4222

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 1647 LA Primary

Addresses

Primary practice location

5037 Veterans Memorial Blvd
2F
Metairie, LA 70006-5136

Mailing address

5037 Veterans Memorial Blvd
2F
Metairie, LA 70006-5136
Phone (504) 510-4222

Other identifiers 1

IdentifierTypeStateIssuer
2436449MedicaidLA

Other names 1

  • Metairie Chiropractic & Rehab Doing business as

National Provider Directory

National Provider Directory

Locations

5037 Veterans Memorial Blvd
Ste 2F
Metairie, LA 70006
Phone (504) 510-4222

NPI Registry JSON

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

{
    "created_epoch": "1489104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597104000000",
    "number": "1255872172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5037 VETERANS MEMORIAL BLVD",
            "address_2": "2F",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700065136",
            "telephone_number": "504-510-4222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5037 VETERANS MEMORIAL BLVD",
            "address_2": "2F",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700065136",
            "telephone_number": "504-510-4222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAK TREE CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-10",
        "last_updated": "2020-08-11",
        "certification_date": "2020-08-11",
        "status": "A",
        "authorized_official_last_name": "TEKIPPE",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "504-510-4222",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "LA",
            "license": "1647",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2436449",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Metairie Chiropractic & Rehab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Metairie, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 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.