Active NPI
Central Chiropractic Center, Inc.
- Preferred Provider Organization
- Central, LA
National Provider Identifier
1306146089
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Preferred Provider Organization
- License
- 1289
- Legal business name
- CENTRAL CHIROPRACTIC CENTER, INC.
- Practice address
- 8755 Sullivan Road
Suite a
Central, LA 70818 - Phone
- (225) 706-0454
- Fax
- (225) 706-0453
- NPI assigned
- Oct 27, 2010
- Organization subpart
- Yes
- Parent organization
- CHIROPRACTIC SPORTS AND NUTRITION CENTER
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Irene C Pierce
- Title
- Office Manager
- Phone
- (225) 928-3244
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Preferred Provider Organization | 305R00000X | 1289 | LA | Primary |
Addresses
Primary practice location
8755 Sullivan Road
Suite a
Central, LA 70818
Mailing address
8755 Sullivan Road
Suite a
Central, LA 70818
Phone (225) 706-0454
Other names 1
- Chiropractic Sports and Nutrition Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20110112000676 | LA | Part B Supplier - Clinic/Group Practice | 5395934939 |
Receives reassigned benefits from 1 practitioner Practice locations: Central, LA |
National Provider Directory
National Provider Directory- Part of
- Chiropractic Sports Nutri
Locations
8755 Sullivan Rd
Ste A
Baton Rouge, LA 70818
Phone (225) 706-0451
Practitioners & affiliated clinicians
Practitioners 1
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": "1288137600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1288137600000",
"number": "1306146089",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8755 SULLIVAN ROAD",
"address_2": "SUITE A",
"city": "CENTRAL",
"state": "LA",
"postal_code": "70818",
"telephone_number": "225-706-0454",
"fax_number": "225-706-0453"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8755 SULLIVAN ROAD",
"address_2": "SUITE A",
"city": "CENTRAL",
"state": "LA",
"postal_code": "70818",
"telephone_number": "225-706-0454",
"fax_number": "225-706-0453"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CENTRAL CHIROPRACTIC CENTER, INC.",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "CHIROPRACTIC SPORTS AND NUTRITION CENTER",
"enumeration_date": "2010-10-27",
"last_updated": "2010-10-27",
"status": "A",
"authorized_official_last_name": "PIERCE",
"authorized_official_first_name": "IRENE",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "225-928-3244",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "305R00000X",
"taxonomy_group": "",
"desc": "Preferred Provider Organization",
"state": "LA",
"license": "1289",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Chiropractic Sports and Nutrition Center",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Central, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2010; 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.