Jason Paul Pellegrin, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1573 Issued in LA

Practice address

714 Phosphor Ave
Metairie, LA 70005-2727

Phone

(504) 224-8400

Fax

(504) 272-0237

NPI assigned

Aug 8, 2010

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Wellistics Physical Therapy Center L3C

  • Chiropractor
  • Kenner, LA
  • NPI 1669821930
  NPD (past)
• Wellistics Physical Therapy Center L3C

  • Health Maintenance Organization
  • Metairie, LA
  • NPI 1861848954
  NPD (past)

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

{
    "created_epoch": "1281225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462924800000",
    "number": "1336454990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "714 PHOSPHOR AVE",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700052727",
            "telephone_number": "504-224-8400",
            "fax_number": "504-272-0237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "714 PHOSPHOR AVE",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700052727",
            "telephone_number": "504-224-8400",
            "fax_number": "504-272-0237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PELLEGRIN",
        "first_name": "JASON",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-08-08",
        "last_updated": "2016-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "LA",
            "license": "1573",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Escipion Pedroza, M.D.
• Claire Dianne Peebles, PH.D.
• Rade N. Pejic, M.D.
• Pelican Ambulance LLC
• Pelican Primary Care LLC
• Lillian Pellegrin
• Jennifer Pellittieri
• Reine S Pema Sanga
• Kilsy Isabel Pena, RN
• Lawrence Edward Pendleton

• Chiropractor in Metairie, LA
• Providers in Metairie, LA by specialty
• Chiropractor in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2016; 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.