Active NPI
Jeremy David Rawls, DC
- Chiropractor
- Oak Grove, LA
National Provider Identifier
1306193701
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1648
- Practice address
- 212 N Front St
Oak Grove, LA 71263 - Phone
- (318) 428-8450
- NPI assigned
- Aug 6, 2012
- 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 | 1648 | LA | Primary |
Addresses
Primary practice location
212 N Front St
Oak Grove, LA 71263
Mailing address
PO Box 364
Oak Grove, LA 71263-0364
Phone (318) 428-8450
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 |
|---|---|---|---|
| 1648 | LA | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1344211200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1347408000000",
"number": "1306193701",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 364",
"city": "OAK GROVE",
"state": "LA",
"postal_code": "712630364",
"telephone_number": "318-428-8450"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "212 N FRONT ST",
"city": "OAK GROVE",
"state": "LA",
"postal_code": "71263",
"telephone_number": "318-428-8450"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAWLS",
"first_name": "JEREMY",
"middle_name": "DAVID",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-08-06",
"last_updated": "2012-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "LA",
"license": "1648",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oak Grove, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.