Active NPI
Domingo Jesus Delosreyes, D.C
- Chiropractor
- Saint Bernard, LA
National Provider Identifier
1427259563
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1410
- Practice address
- 2009 Green Ave
Saint Bernard, LA 70085-5614 - Phone
- (504) 460-4833
- NPI assigned
- May 29, 2007
- Last updated
- Aug 19, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 1410 | LA | Primary |
Addresses
Primary practice location
2009 Green Ave
Saint Bernard, LA 70085-5614
Mailing address
2113 Serpas LN
Saint Bernard, LA 70085-5822
Phone (504) 460-4833
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
9135 W Judge Perez Dr
Suite B
Chalmette, LA 70043-4541
Phone (504) 302-1718
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1410 | LA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| De Los Reyes Chiropractic | Chiropractor | Current | Accepting new patients |
| Pinhook Chiropractic Clinic | Chiropractor | Past | Accepting new patients |
Locations
9135 W Judge Perez Dr
Ste B
Chalmette, LA 70043
Phone (504) 302-1718
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.
-
- Chiropractor
- Lafayette, LA
- NPI 1215091855
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180396800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1250640000000",
"number": "1427259563",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2113 SERPAS LN",
"city": "SAINT BERNARD",
"state": "LA",
"postal_code": "700855822",
"telephone_number": "504-460-4833"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2009 GREEN AVE",
"city": "SAINT BERNARD",
"state": "LA",
"postal_code": "700855614",
"telephone_number": "504-460-4833"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DELOSREYES",
"first_name": "DOMINGO",
"middle_name": "JESUS",
"name_prefix": "Dr.",
"credential": "D.C",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-29",
"last_updated": "2009-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "LA",
"license": "1410",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Bernard, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2009; 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.