Individual provider Active NPI

Eliah Globke, DC

  • Chiropractor
  • Bastrop, LA
National Provider Identifier
1538197736
Registry record updated Mar 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1173 Issued in LA
Practice address
240 Holt St
Bastrop, LA 71220-4054
Phone
(318) 283-5007
Fax
(318) 283-5008
NPI assigned
Jun 28, 2006
Last updated
Mar 26, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1173 LA Primary

Addresses

Primary practice location

240 Holt St
Bastrop, LA 71220-4054

Mailing address

240 Holt St
Bastrop, LA 71220-6709
Phone (318) 283-5007

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050124000108 LA Practitioner - Chiropractic 6709836224 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

240 Holt St
Bastrop, LA 71220-4054
Phone (318) 283-5007

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1173LAMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Globke Chiropractic Clinic LLC Chiropractor CurrentSince Oct 2, 2006 Accepting new patients
Shell Chiropractic, LLC Chiropractor Past Accepting new patients

Locations

240 Holt St
Bastrop, LA 71220
Phone (318) 283-5007

Organizations & group practices 2

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": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395792000000",
    "number": "1538197736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 HOLT ST",
            "city": "BASTROP",
            "state": "LA",
            "postal_code": "712206709",
            "telephone_number": "318-283-5007",
            "fax_number": "318-283-5008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 HOLT ST",
            "city": "BASTROP",
            "state": "LA",
            "postal_code": "712204054",
            "telephone_number": "318-283-5007",
            "fax_number": "318-283-5008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLOBKE",
        "first_name": "ELIAH",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-28",
        "last_updated": "2014-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "LA",
            "license": "1173",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bastrop, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2014; 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.