Active NPI
Jason Ward Prevost, DC
- Chiropractor
- Carencro, LA
National Provider Identifier
1508240391
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1393
- Practice address
- 313 Magnolia Knee Dr
Carencro, LA 70520-6189 - Phone
- (337) 565-7140
- NPI assigned
- Jul 12, 2015
- Last updated
- Jul 12, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 1393 | LA | Primary |
Addresses
Primary practice location
313 Magnolia Knee Dr
Carencro, LA 70520-6189
Mailing address
313 Magnolia Knee Dr
Carencro, LA 70520-6189
Phone (337) 565-7140
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1393 | LA | MD | Clinical Psychologist |
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": "1436659200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1436659200000",
"number": "1508240391",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "313 MAGNOLIA KNEE DR",
"city": "CARENCRO",
"state": "LA",
"postal_code": "705206189",
"telephone_number": "337-565-7140"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "313 MAGNOLIA KNEE DR",
"city": "CARENCRO",
"state": "LA",
"postal_code": "705206189",
"telephone_number": "337-565-7140"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PREVOST",
"first_name": "JASON",
"middle_name": "WARD",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-07-12",
"last_updated": "2015-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "LA",
"license": "1393",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Carencro, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 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.