Central Chiropractic Center, Inc.

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

License

1289 Issued in LA

Legal business name

CENTRAL CHIROPRACTIC CENTER, INC.

Doing business as

Chiropractic Sports and Nutrition Center

Practice address

8755 Sullivan Road
Suite a
Central, LA 70818

Phone

(225) 706-0454

Fax

(225) 706-0453

NPI assigned

Oct 27, 2010

Last updated

Oct 27, 2010By the provider in NPPES

Organization subpart

Yes

Parent organization

CHIROPRACTIC SPORTS AND NUTRITION CENTERAs reported in NPPES

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

Addresses

Other names 1

• Chiropractic Sports and Nutrition Center Doing business as

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Part of

Chiropractic Sports Nutri

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Damon Butler, D.C.

  • Chiropractor
  • Baton Rouge, LA
  • NPI 1366577330
  Medicare reassignment NPD

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"
        }
    ]
}

• Andy Branton
• Cyril Floyd Broussard

• Preferred Provider Organization in Central, LA
• Providers in Central, LA by specialty
• Preferred Provider Organization in Louisiana

• 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.

Verify at the official NPI Registry.