Individual provider Active NPI

Coleman Joseph Cormier, D.C

  • Chiropractor
  • Houma, LA
National Provider Identifier
1417386038
Registry record updated Nov 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1682 Issued in LA
Practice address
6902 West Main St
Houma, LA 70360-9999
Phone
(985) 868-3136
Fax
(985) 868-4040
NPI assigned
Nov 4, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1682 LA Primary

Addresses

Primary practice location

6902 West Main St
Houma, LA 70360-9999

Mailing address

6902 West Main St
Houma, LA 70360-9999
Phone (985) 868-3136

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140326000773 LA Practitioner - Chiropractic 9638300106 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1682LAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
DRS Flynn Manceaux a Professional Chiropractic and Physical Therapy Co Chiropractor CurrentSince Nov 12, 2013 Accepting new patients

Locations

6902 W Main St
Houma, LA 70360
Phone (985) 868-3136

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": "1383523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383523200000",
    "number": "1417386038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6902 WEST MAIN ST",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "703609999",
            "telephone_number": "985-868-3136",
            "fax_number": "985-868-4040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6902 WEST MAIN ST",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "703609999",
            "telephone_number": "985-868-3136",
            "fax_number": "985-868-4040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORMIER",
        "first_name": "COLEMAN",
        "middle_name": "JOSEPH",
        "name_prefix": "Mr.",
        "credential": "D.C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-11-04",
        "last_updated": "2013-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "LA",
            "license": "1682",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houma, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2013; 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.