Individual provider Active NPI

James Leo Shoemaker, DC, CCSP

  • Chiropractor
  • Chalmette, LA
National Provider Identifier
1316942147
Registry record updated Oct 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
684 Issued in LA
Practice address
1013B West Judge Perez Drive
Chalmette, LA 70043
Phone
(504) 271-6500
Fax
(504) 279-7778
NPI assigned
Jun 17, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 11, 2022

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Chiropractor 111NR0200X 684 LA
Rehabilitation Chiropractor 111NR0400X 684 LA
Sports Physician Chiropractor 111NS0005X 684 LA
Orthopedic Chiropractor 111NX0800X 684 LA
Chiropractor 111N00000X 684 LA Primary

Addresses

Primary practice location

1013B West Judge Perez Drive
Chalmette, LA 70043

Mailing address

205/206 Highpoint Drive
Diamondhead, MS 39525
Phone (985) 710-2644

Other identifiers 6

IdentifierTypeStateIssuer
6417817OtherLACIGNA
66307OtherKYOFFICE OF GROUP BENEFITS
59660OtherLAINDIVIDUAL
692818OtherLAAETNA
N173011OtherLAFARA WORKERS COMP
721153266OtherLADEFINITY HEALTHCARE

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

LicenseStateTypeSpecialty
684LAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
LJF Holdings LLC Chiropractor PastSince Sep 1, 2022 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1118966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665446400000",
    "number": "1316942147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205/206 HIGHPOINT DRIVE",
            "city": "DIAMONDHEAD",
            "state": "MS",
            "postal_code": "39525",
            "telephone_number": "985-710-2644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1013B WEST JUDGE PEREZ DRIVE",
            "city": "CHALMETTE",
            "state": "LA",
            "postal_code": "70043",
            "telephone_number": "504-271-6500",
            "fax_number": "504-279-7778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHOEMAKER",
        "first_name": "JAMES",
        "middle_name": "LEO",
        "name_prefix": "Dr.",
        "credential": "DC, CCSP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-17",
        "last_updated": "2022-10-11",
        "certification_date": "2022-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NR0200X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Radiology",
            "state": "LA",
            "license": "684",
            "primary": false
        },
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "LA",
            "license": "684",
            "primary": false
        },
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "LA",
            "license": "684",
            "primary": false
        },
        {
            "code": "111NX0800X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Orthopedic",
            "state": "LA",
            "license": "684",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "LA",
            "license": "684",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "6417817",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OFFICE OF GROUP BENEFITS",
            "identifier": "66307",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL",
            "identifier": "59660",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "692818",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FARA WORKERS COMP",
            "identifier": "N173011",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEFINITY HEALTHCARE",
            "identifier": "721153266",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chalmette, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2022; 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.