Individual provider Active NPI

Mercer L. King, D.C. D.A.B.C.A.

  • Chiropractor
  • Monroe, LA
National Provider Identifier
1336109297
Registry record updated Aug 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
772 Issued in LA
Practice address
1896 Hudson Cir Ste 3
Monroe, LA 71201-3549
Phone
(318) 396-8010
NPI assigned
Mar 24, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 16, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 772 LA Primary

Addresses

Primary practice location

1896 Hudson Cir Ste 3
Monroe, LA 71201-3549

Mailing address

1896 Hudson Cir Ste 3
Monroe, LA 71201-3549
Phone (318) 396-8010

Other identifiers 2

IdentifierTypeStateIssuer
721309854OtherLATAX IDENTIFICATION NUMBER
1989827MedicaidLA

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
772LAMDChiropractor
7772LAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
King Health Care, Inc. Chiropractor PastSince Nov 11, 1995 Accepting new patients
Catherine Price Counseling Services LLC PastSince Feb 8, 2023 Accepting new patients

Organizations & group practices 2

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": "1143158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1408147200000",
    "number": "1336109297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1896 HUDSON CIR STE 3",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712013549",
            "telephone_number": "318-396-8010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1896 HUDSON CIR STE 3",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712013549",
            "telephone_number": "318-396-8010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "MERCER",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "D.C.     D.A.B.C.A.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-24",
        "last_updated": "2014-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "LA",
            "license": "772",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX IDENTIFICATION NUMBER",
            "identifier": "721309854",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1989827",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2014; 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.