Active NPI
Edward W Levin Jr., D.C.
- Chiropractor
- Lafayette, LA
National Provider Identifier
1265763387
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1290
- Practice address
- 2701 Johnston St
Suite 100
Lafayette, LA 70503-3263 - Phone
- (337) 261-2633
- Fax
- (337) 261-3766
- NPI assigned
- Jan 29, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 1290 | LA | Primary |
Addresses
Primary practice location
2701 Johnston St
Suite 100
Lafayette, LA 70503-3263
Mailing address
410 N 7TH St
West Monroe, LA 71291-4108
Phone (318) 303-6142
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1290 | Other | LA | MEDICAL LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 657 | MT | MD | Optometrist |
| 1290 | LA | MD | Hearing Instrument Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| JDH Management LLC | Chiropractor | Current | Accepting new patients |
Locations
801 Johnson St
Tallulah, LA 71282
Phone (318) 303-6142
403 N 6th St
Ste 8
West Monroe, LA 71291
Phone (318) 303-6142
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Chiropractor
- West Monroe, LA
- NPI 1083173470
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1264723200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1673222400000",
"number": "1265763387",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "410 N 7TH ST",
"city": "WEST MONROE",
"state": "LA",
"postal_code": "712914108",
"telephone_number": "318-303-6142",
"fax_number": "318-855-8453"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2701 JOHNSTON ST",
"address_2": "SUITE 100",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705033263",
"telephone_number": "337-261-2633",
"fax_number": "337-261-3766"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEVIN",
"first_name": "EDWARD",
"middle_name": "W",
"name_suffix": "Jr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-01-29",
"last_updated": "2023-01-09",
"certification_date": "2023-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "LA",
"license": "1290",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE",
"identifier": "1290",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lafayette, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.