Organization Active NPI

Animus Chiropractic and Alternative Medicine, LLC

Doing business as Essential Chiropractic

  • Nutrition Chiropractor
  • Mandeville, LA
National Provider Identifier
1497369250
Registry record updated Jan 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nutrition ChiropractorTaxonomy code 111NN1001X
Legal business name
ANIMUS CHIROPRACTIC AND ALTERNATIVE MEDICINE, LLC
Doing business as
Essential Chiropractic
Practice address
1120 N Causeway Blvd Ste 2
Mandeville, LA 70471-3429
Phone
(985) 778-2695
NPI assigned
Aug 31, 2020
Last updated
Jan 5, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2022

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

Authorized official

Name
Dr. Austin Fontenot, DCNPI 1699121822
Title
Owner/Provider
Phone
(985) 705-5392

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nutrition Chiropractor 111NN1001X Primary
Health Service Clinic/Center 261QH0100X

Addresses

Primary practice location

1120 N Causeway Blvd Ste 2
Mandeville, LA 70471-3429

Mailing address

1120 N Causeway Blvd Ste 2
Mandeville, LA 70471-3429
Phone (985) 778-2695

Other identifiers 1

IdentifierTypeStateIssuer
1699121822OtherINDIVIDUAL NPI

Other names 1

  • Essential Chiropractic Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL essentialdrfontenot@gmail.com

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210122001305 LA Part B Supplier - Clinic/Group Practice 6507270154 Receives reassigned benefits from 1 practitioner
Practice locations: Mandeville, LA

National Provider Directory

National Provider Directory

Locations

1011 N Causeway Blvd
Mandeville, LA 70471
Phone (985) 626-8403

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1598832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641340800000",
    "number": "1497369250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 N CAUSEWAY BLVD STE 2",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704713429",
            "telephone_number": "985-778-2695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 N CAUSEWAY BLVD STE 2",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704713429",
            "telephone_number": "985-778-2695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANIMUS CHIROPRACTIC AND ALTERNATIVE MEDICINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-31",
        "last_updated": "2022-01-05",
        "certification_date": "2022-01-05",
        "status": "A",
        "authorized_official_last_name": "FONTENOT",
        "authorized_official_first_name": "AUSTIN",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "985-705-5392",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111NN1001X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Nutrition",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1699121822",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "essentialdrfontenot@gmail.com",
            "affiliation": "N",
            "address_1": "1120 N Causeway Blvd Ste 2",
            "city": "Mandeville",
            "state": "LA",
            "country_code": "US",
            "postal_code": "704713429",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Essential Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Essential Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mandeville, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2022; 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.