Organization Active NPI

Mayfield Chiropractic Lake Charles

  • Chiropractor
  • Lake Charles, LA
National Provider Identifier
1487039665
Registry record updated Jul 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1607 Issued in LA
Legal business name
MAYFIELD CHIROPRACTIC LAKE CHARLES
Practice address
3101 Lake St Ste 101
Lake Charles, LA 70601-8337
Phone
(337) 656-4514
Fax
(337) 656-4517
NPI assigned
Jul 29, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2015

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

Authorized official

Name
Dr. Samuel Mayfield, D.C.NPI 1912298472
Title
Authorized Agent
Phone
(337) 656-4514

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 1607 LA Primary

Addresses

Primary practice location

3101 Lake St Ste 101
Lake Charles, LA 70601-8337

Mailing address

3101 Lake St Ste 101
Lake Charles, LA 70601-8337
Phone (337) 656-4514

National Provider Directory

National Provider Directory

Locations

1709 W Prien Lake Rd
#B
Lake Charles, LA 70601
Phone (337) 474-5201

3101 Lake St
Ste 101
Lake Charles, LA 70601
Phone (337) 656-4514

Practitioners & affiliated clinicians

Practitioners 2

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": "1438128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438128000000",
    "number": "1487039665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3101 LAKE ST STE 101",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706018337",
            "telephone_number": "337-656-4514",
            "fax_number": "337-656-4517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3101 LAKE ST STE 101",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706018337",
            "telephone_number": "337-656-4514",
            "fax_number": "337-656-4517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAYFIELD CHIROPRACTIC LAKE CHARLES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-29",
        "last_updated": "2015-07-29",
        "status": "A",
        "authorized_official_last_name": "MAYFIELD",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_title_or_position": "AUTHORIZED AGENT",
        "authorized_official_telephone_number": "337-656-4514",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "LA",
            "license": "1607",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Charles, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.