Organization Active NPI

Carr Chiropractic Clinic, LLC

  • Chiropractor
  • Lafayette, LA
National Provider Identifier
1407098445
Registry record updated Aug 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1449 Issued in LA
Legal business name
CARR CHIROPRACTIC CLINIC, LLC
Practice address
105 Westmark Blvd
Lafayette, LA 70506-7371
Phone
(337) 993-2277
Fax
(337) 993-2228
NPI assigned
Apr 6, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2014

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

Authorized official

Name
Michelle Marie Carr, D.C.NPI 1043480544
Title
Clinic Director/Owner
Phone
(337) 993-2277

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 1449 LA Primary

Addresses

Primary practice location

105 Westmark Blvd
Lafayette, LA 70506-7371

Mailing address

105 Westmark Blvd
Lafayette, LA 70506-7371
Phone (337) 993-2277

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100120000020 LA Part B Supplier - Clinic/Group Practice 1052453610 Receives reassigned benefits from 2 practitioners
Practice locations: Lafayette, LA

National Provider Directory

National Provider Directory

Locations

105 Westmark Blvd
Lafayette, LA 70506
Phone (337) 993-2277

318 Guilbeau Rd
Ste B
Lafayette, LA 70506
Phone (337) 406-4790

105 Westmark Blvd
Ste 1B
Lafayette, LA 70506

3213 Johnston St
Lafayette, LA 70503
Phone (337) 406-1988

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1238976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407283200000",
    "number": "1407098445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 WESTMARK BLVD",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705067371",
            "telephone_number": "337-993-2277",
            "fax_number": "337-993-2228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 WESTMARK BLVD",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705067371",
            "telephone_number": "337-993-2277",
            "fax_number": "337-993-2228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARR CHIROPRACTIC CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-06",
        "last_updated": "2014-08-06",
        "status": "A",
        "authorized_official_last_name": "CARR",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "CLINIC DIRECTOR/OWNER",
        "authorized_official_telephone_number": "337-993-2277",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "LA",
            "license": "1449",
            "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 Aug 6, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.