Individual provider Active NPI

Jason P. Abshire, D.C., C.C.S.P.

  • Sports Physician Chiropractor
  • Lafayette, LA
National Provider Identifier
1376510768
Registry record updated Jun 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
1277 Issued in LA
Practice address
913 S College Rd
Suite 105
Lafayette, LA 70503-3060
Phone
(337) 261-0100
Fax
(337) 261-5589
NPI assigned
Mar 3, 2006
Last updated
Jun 19, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physician Chiropractor 111NS0005X 1277 LA Primary

Addresses

Primary practice location

913 S College Rd
Suite 105
Lafayette, LA 70503-3060

Mailing address

913 S. College Rd
Suite 105
Lafayette, LA 70503
Phone (337) 261-0100

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101019001308 LA Practitioner - Chiropractic 8022201342 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Abshire Chiropractic Sports CenterGroup PAC ID 4789631722, 2 clinicians

Practice addresses (Care Compare)

1105 S College Rd
Suite a
Lafayette, LA 70503-3067
Phone (337) 261-0100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1277LAMDSports Physician Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Abshire Chiropractic Sports Center Sports Physician CurrentSince Jan 1, 2003 Accepting new patients
Neuropsychiatric Clinic of Acadiana LLC Past Accepting new patients

Locations

1105 S College Rd
Ste A
Lafayette, LA 70503
Phone (337) 232-9113

913 S College Rd
Ste 105
Lafayette, LA 70503
Phone (337) 261-0100

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1141344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371600000000",
    "number": "1376510768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "913 S. COLLEGE RD",
            "address_2": "SUITE 105",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "70503",
            "telephone_number": "337-261-0100",
            "fax_number": "337-261-5589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "913 S COLLEGE RD",
            "address_2": "SUITE 105",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705033060",
            "telephone_number": "337-261-0100",
            "fax_number": "337-261-5589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABSHIRE",
        "first_name": "JASON",
        "middle_name": "P.",
        "name_prefix": "Dr.",
        "credential": "D.C., C.C.S.P.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-03",
        "last_updated": "2013-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "LA",
            "license": "1277",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2013; 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.