NPIMap

Organization Active NPI

Abbeville Chiropractic Clinic, a.P.C.C.

  • Chiropractor
  • Abbeville, LA
National Provider Identifier
1528091121
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
714 Issued in LA
Legal business name
ABBEVILLE CHIROPRACTIC CLINIC, A.P.C.C.
Practice address
2619 South Dr
Abbeville, LA 70510-4044
Phone
(337) 893-4353
Fax
(337) 893-4366
NPI assigned
Jul 8, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Amy Lou Rumbaugh-Durr, D.C.NPI 1861410680
Title
Owner/Chiro
Phone
(337) 893-4353

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 714 LA Primary

Addresses

Primary practice location

2619 South Dr
Abbeville, LA 70510-4044

Mailing address

2619 South Dr
Abbeville, LA 70510-4044
Phone (337) 893-4353

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080205000593 LA Part B Supplier - Clinic/Group Practice 5193808798 Receives reassigned benefits from 1 practitioner
Practice locations: Abbeville, LA

National Provider Directory

National Provider Directory

Locations

2619 South Dr
Abbeville, LA 70510
Phone (337) 893-4353

Practitioners & affiliated clinicians

Practitioners 5

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": "1152316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1528091121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2619 SOUTH DR",
            "city": "ABBEVILLE",
            "state": "LA",
            "postal_code": "705104044",
            "telephone_number": "337-893-4353",
            "fax_number": "337-893-4366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2619 SOUTH DR",
            "city": "ABBEVILLE",
            "state": "LA",
            "postal_code": "705104044",
            "telephone_number": "337-893-4353",
            "fax_number": "337-893-4366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABBEVILLE CHIROPRACTIC CLINIC, A.P.C.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RUMBAUGH-DURR",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "LOU",
        "authorized_official_title_or_position": "OWNER/CHIRO",
        "authorized_official_telephone_number": "337-893-4353",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "LA",
            "license": "714",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Abbeville, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.