Organization Active NPI

Bossier Chiropractic Center LLC

  • Chiropractor
  • Bossier City, LA
National Provider Identifier
1457198459
Registry record updated Jul 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
BOSSIER CHIROPRACTIC CENTER LLC
Practice address
3018 Old Minden Rd Ste 1203
Bossier City, LA 71112-2446
Phone
(318) 747-5855
Fax
(318) 746-0417
NPI assigned
Jul 9, 2024
Last updated
Jul 9, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2024

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

Authorized official

Name
Dr. Dempsey Ross Zahn, DCNPI 1952760423
Title
Owner
Phone
(318) 294-7220

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
Chiropractor 111N00000X NU Primary

Addresses

Primary practice location

3018 Old Minden Rd Ste 1203
Bossier City, LA 71112-2446

Mailing address

8742 E Wilderness Way
Shreveport, LA 71106-6137
Phone (318) 294-7220

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240906003906 LA Part B Supplier - Clinic/Group Practice 9537609326 Receives reassigned benefits from 1 practitioner
Practice locations: Bossier City, LA

National Provider Directory

National Provider Directory

Locations

3018 Old Minden Rd
Ste 1203
Bossier City, LA 71112
Phone (318) 747-5855

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1720483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720483200000",
    "number": "1457198459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8742 E WILDERNESS WAY",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711066137",
            "telephone_number": "318-294-7220",
            "fax_number": "318-686-4714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3018 OLD MINDEN RD STE 1203",
            "city": "BOSSIER CITY",
            "state": "LA",
            "postal_code": "711122446",
            "telephone_number": "318-747-5855",
            "fax_number": "318-746-0417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOSSIER CHIROPRACTIC CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-09",
        "last_updated": "2024-07-09",
        "certification_date": "2024-07-08",
        "status": "A",
        "authorized_official_last_name": "ZAHN",
        "authorized_official_first_name": "DEMPSEY",
        "authorized_official_middle_name": "ROSS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "318-294-7220",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bossier City, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2024; 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.