NPIMap

Organization Active NPI

Rollette Chiropractic Center

  • Chiropractor
  • Hammond, LA
National Provider Identifier
1275720302
Registry record updated Jan 31, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
732 Issued in LA
Legal business name
ROLLETTE CHIROPRACTIC CENTER
Practice address
2108 Rue Simone
Hammond, LA 70403-5728
Phone
(985) 345-9504
NPI assigned
Oct 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2008

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

Authorized official

Name
Dr. Dale A. Rollette, DCNPI 1366477119
Title
President
Phone
(985) 345-9504

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 MULTIPLE SINGLE SPECIALTY GROUP 111N00000X 732 LA Primary

Addresses

Primary practice location

2108 Rue Simone
Hammond, LA 70403-5728

Mailing address

2108 Rue Simone
Hammond, LA 70403-5728
Phone (985) 345-9504

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080116000806 LA Part B Supplier - Clinic/Group Practice 8022199918 Receives reassigned benefits from 4 practitioners
Practice locations: Hammond, LA

National Provider Directory

National Provider Directory

Locations

2108 Rue Simone
Hammond, LA 70403
Phone (985) 345-9504

Practitioners & affiliated clinicians

Practitioners 4

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": "1191283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201737600000",
    "number": "1275720302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2108 RUE SIMONE",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704035728",
            "telephone_number": "985-345-9504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2108 RUE SIMONE",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704035728",
            "telephone_number": "985-345-9504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROLLETTE CHIROPRACTIC CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-02",
        "last_updated": "2008-01-31",
        "status": "A",
        "authorized_official_last_name": "ROLLETTE",
        "authorized_official_first_name": "DALE",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "985-345-9504",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "LA",
            "license": "732",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hammond, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.