Individual provider Active NPI

Dale Allen Rollette, D.C.

  • Chiropractor
  • Hammond, LA
National Provider Identifier
1366477119
Registry record updated Feb 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
732 Issued in LA
Practice address
2108 Rue Simone
Hammond, LA 70403-5728
Phone
(985) 345-9504
Fax
(985) 345-9546
NPI assigned
Jul 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 732 LA Primary

Addresses

Primary practice location

2108 Rue Simone
Hammond, LA 70403-5728

Mailing address

2108 Rue Simone
Hammond, LA 70403-5728
Phone (985) 345-9504

Other identifiers 6

IdentifierTypeStateIssuer
5C032OtherLAMEDICARE FOR OFFICE
4290964OtherLAAETNA FOR OFFICE
3118AOtherLABLUECROSS BLUESHIELD
DD7261OtherLAOFFICE RAILROAD MEDICARE
350047219OtherLARAILROAD MEDICARE
2280AOtherLABCBS FOR OFFICE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080116000823 LA Practitioner - Chiropractic 5193806081 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rollette Chiropractic CenterGroup PAC ID 8022199918, 4 clinicians

Practice addresses (Care Compare)

2108 Rue Simone
Hammond, LA 70403-5728
Phone (985) 345-9504

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Rollette Chiropractic Center Chiropractor CurrentSince Oct 1, 2007 Accepting new patients

Locations

2108 Rue Simone
Hammond, LA 70403
Phone (985) 345-9504

2108 Rue Simone
#A
Hammond, LA 70403

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": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329264000000",
    "number": "1366477119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2108 RUE SIMONE",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704035728",
            "telephone_number": "985-345-9504",
            "fax_number": "985-345-9546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2108 RUE SIMONE",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704035728",
            "telephone_number": "985-345-9504",
            "fax_number": "985-345-9546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROLLETTE",
        "first_name": "DALE",
        "middle_name": "ALLEN",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2012-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "LA",
            "license": "732",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE FOR OFFICE",
            "identifier": "5C032",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA FOR OFFICE",
            "identifier": "4290964",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHIELD",
            "identifier": "3118A",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OFFICE RAILROAD MEDICARE",
            "identifier": "DD7261",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "350047219",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS FOR OFFICE",
            "identifier": "2280A",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hammond, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2012; 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.