Louisiana Chiropractic LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1677 Issued in LA

Legal business name

LOUISIANA CHIROPRACTIC LLC

Practice address

415 Court St
Port Allen, LA 70767-2747

Phone

(225) 336-1920

Fax

(225) 343-8399

NPI assigned

Sep 25, 2014

Last updated

Oct 28, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

William Owens, DCNPI 1255677431

Title

Owner

Phone

(225) 336-1920

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• William Dane Owens, DC

  • Chiropractor
  • Port Allen, LA
  • NPI 1255677431
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1411603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414454400000",
    "number": "1447652086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 COURT ST",
            "city": "PORT ALLEN",
            "state": "LA",
            "postal_code": "707672747",
            "telephone_number": "225-336-1920",
            "fax_number": "225-343-8399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 COURT ST",
            "city": "PORT ALLEN",
            "state": "LA",
            "postal_code": "707672747",
            "telephone_number": "225-336-1920",
            "fax_number": "225-343-8399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOUISIANA CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-25",
        "last_updated": "2014-10-28",
        "status": "A",
        "authorized_official_last_name": "OWENS",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "225-336-1920",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "LA",
            "license": "1677",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kim R Leduff
• Alexis Lee
• Ashley Lee, FNP-C
• Nita Guillot Lindsly, NP
• Daria Louis
• Louisiana Urgent Care LLC
• Shaquill Mack
• Kyle Mancuso, FNP-C
• Haley Hebert Marcantel
• Montrell Latrae Martin-Duhe, FNP-C

• Chiropractor in Port Allen, LA
• Providers in Port Allen, LA by specialty
• Chiropractor in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 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.