Dallas Humble, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

488 Issued in LA

Practice address

801 Johnson St
Tallulah, LA 71282-4534

Phone

(318) 303-6142

Fax

(318) 855-8453

NPI assigned

Sep 1, 2017

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 1982

Medicare assignment

May accept Medicare assignment

Group practices

JDH Management LLCGroup PAC ID 3375929698, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

Practice roles

Locations

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.

• JDH Management LLC

  dba Louisiana Accident & Injury Care

  • Chiropractor
  • West Monroe, LA
  • NPI 1083173470
  Medicare reassignment Care Compare group NPD Authorized official
• Dalco Enterprises Inc

  • Customized Equipment (DME)
  • West Monroe, LA
  • NPI 1871781898
  NPD (past) Authorized official
• Easterly Enterprises LLC

  dba Louisiana Accident and Injury Care

  • Chiropractor
  • Tallulah, LA
  • NPI 1023855947
  NPD
• BV Coleman Management

  dba Coleman Chiropractic Clinic

  • Chiropractor
  • Monroe, LA
  • NPI 1811108582
  NPD (past)

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

{
    "created_epoch": "1504224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680739200000",
    "number": "1356869069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 N 7TH ST",
            "city": "WEST MONROE",
            "state": "LA",
            "postal_code": "712914108",
            "telephone_number": "318-303-6142",
            "fax_number": "318-855-8453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 JOHNSON ST",
            "city": "TALLULAH",
            "state": "LA",
            "postal_code": "712824534",
            "telephone_number": "318-303-6142",
            "fax_number": "318-855-8453"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "403 N 6th St Ste 8-9",
            "address_purpose": "LOCATION",
            "city": "West Monroe",
            "state": "LA",
            "postal_code": "712914120",
            "country_code": "US",
            "telephone_number": "318-303-6142",
            "fax_number": "318-855-8453",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "410 N 7th St",
            "address_purpose": "LOCATION",
            "city": "West Monroe",
            "state": "LA",
            "postal_code": "712914108",
            "country_code": "US",
            "telephone_number": "318-303-6142",
            "fax_number": "318-855-8453",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUMBLE",
        "first_name": "DALLAS",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-09-01",
        "last_updated": "2023-04-06",
        "certification_date": "2023-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "LA",
            "license": "488",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1951731",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.