Individual provider Active NPI

John E Daigle, DC

  • Chiropractor
  • Lafayette, LA
National Provider Identifier
1487682019
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
884 Issued in LA
Practice address
345 Doucet Rd
Suite 104B
Lafayette, LA 70503-3488
Phone
(337) 989-0800
Fax
(337) 989-0867
NPI assigned
Jun 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 884 LA Primary

Addresses

Primary practice location

345 Doucet Rd
Suite 104B
Lafayette, LA 70503-3488

Mailing address

345 Doucet Rd
Suite 104B
Lafayette, LA 70503-3488
Phone (337) 989-0800

Other identifiers 1

IdentifierTypeStateIssuer
G7526OtherLABLUE CROSS PROVIDER ID

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110615000725 LA Practitioner - Chiropractic 6608776323 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1989
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

345 Doucet Rd
Suite 104B
Lafayette, LA 70503-3407
Phone (337) 989-0800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
884LAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
John E Daigle Apmc Chiropractor CurrentSince Feb 7, 2002 Accepting new patients

Locations

345 Doucet Rd
Ste 104B
Lafayette, LA 70503
Phone (337) 989-0800

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1487682019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "345 DOUCET RD",
            "address_2": "SUITE 104B",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705033488",
            "telephone_number": "337-989-0800",
            "fax_number": "337-989-0867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 DOUCET RD",
            "address_2": "SUITE 104B",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705033488",
            "telephone_number": "337-989-0800",
            "fax_number": "337-989-0867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAIGLE",
        "first_name": "JOHN",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "LA",
            "license": "884",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS PROVIDER ID",
            "identifier": "G7526",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.