Active NPI
Douglas Allen Hamer, DC
- Chiropractor
- Lake Charles, LA
National Provider Identifier
1316091069
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 339
- Practice address
- 2903 Common Street
Lake Charles, LA 70601-8534 - Phone
- (337) 491-1141
- Fax
- (337) 433-7944
- NPI assigned
- Jan 22, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 339 | LA | Primary |
| Chiropractor | 111N00000X | 5156 | TX |
Addresses
Primary practice location
2903 Common Street
Lake Charles, LA 70601-8534
Mailing address
2903 Common Street
Lake Charles, LA 70601-8534
Phone (337) 491-1141
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 20204 | Other | LA | BLUE CROSS |
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 |
|---|---|---|---|
| 5156 | TX | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169424000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1690848000000",
"number": "1316091069",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2903 COMMON STREET",
"city": "LAKE CHARLES",
"state": "LA",
"postal_code": "706018534",
"telephone_number": "337-491-1141",
"fax_number": "337-433-7944"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2903 COMMON STREET",
"city": "LAKE CHARLES",
"state": "LA",
"postal_code": "706018534",
"telephone_number": "337-491-1141",
"fax_number": "337-433-7944"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAMER",
"first_name": "DOUGLAS",
"middle_name": "ALLEN",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-22",
"last_updated": "2023-08-01",
"certification_date": "2023-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "LA",
"license": "339",
"primary": true
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TX",
"license": "5156",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "20204",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lake Charles, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.