NPIMap

Organization Active NPI

Nosser & Nosser a Professional Chiropractic Corporation

  • Chiropractor
  • Shreveport, LA
National Provider Identifier
1285831883
Registry record updated Oct 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
439 Issued in LA
Legal business name
NOSSER & NOSSER A PROFESSIONAL CHIROPRACTIC CORPORATION
Practice address
915 Olive St
Shreveport, LA 71104-2103
Phone
(318) 868-6508
Fax
(318) 868-0102
NPI assigned
Jun 28, 2007
Last updated
Oct 4, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2011

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

Authorized official

Name
Dr. Thomas Milich Nosser, D.C.
Title
President
Phone
(318) 868-6508

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 439 LA Primary

Addresses

Primary practice location

915 Olive St
Shreveport, LA 71104-2103

Mailing address

915 Olive St
Shreveport, LA 71104-2103
Phone (318) 868-6508

Other identifiers 1

IdentifierTypeStateIssuer
1935450MedicaidLA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1182988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317686400000",
    "number": "1285831883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 OLIVE ST",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711042103",
            "telephone_number": "318-868-6508",
            "fax_number": "318-868-0102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 OLIVE ST",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711042103",
            "telephone_number": "318-868-6508",
            "fax_number": "318-868-0102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOSSER & NOSSER A PROFESSIONAL CHIROPRACTIC CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-28",
        "last_updated": "2011-10-04",
        "status": "A",
        "authorized_official_last_name": "NOSSER",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "MILICH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "318-868-6508",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "LA",
            "license": "439",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1935450",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Shreveport, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2011; 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.