Organization Active NPI

Youngsville Chiropractic, LLC

  • Chiropractor
  • Youngsville, LA
National Provider Identifier
1538433941
Registry record updated Mar 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1509 Issued in LA
Legal business name
YOUNGSVILLE CHIROPRACTIC, LLC
Practice address
300 Iberia St
Youngsville, LA 70592-5738
Phone
(337) 857-5111
Fax
(337) 857-5111
NPI assigned
Mar 2, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2012

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

Authorized official

Name
Dr. Maria E Romero, D.C.NPI 1821232232
Title
Chiropractor/Owner
Phone
(337) 857-5111

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 1509 LA Primary

Addresses

Primary practice location

300 Iberia St
Youngsville, LA 70592-5738

Mailing address

300 Iberia St
Youngsville, LA 70592-5738
Phone (337) 857-5111

Other identifiers 1

IdentifierTypeStateIssuer
1821232232OtherLAINDIVIDUAL NPI NUMBER

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120412000455 LA Part B Supplier - Clinic/Group Practice 2062673320 Receives reassigned benefits from 1 practitioner
Practice locations: Youngsville, LA

National Provider Directory

National Provider Directory

Locations

500 Lafayette St
Youngsville, LA 70592
Phone (337) 315-3301

300 Iberia St
Youngsville, LA 70592
Phone (337) 315-3301

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1330646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330646400000",
    "number": "1538433941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 IBERIA ST",
            "city": "YOUNGSVILLE",
            "state": "LA",
            "postal_code": "705925738",
            "telephone_number": "337-857-5111",
            "fax_number": "337-857-5111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 IBERIA ST",
            "city": "YOUNGSVILLE",
            "state": "LA",
            "postal_code": "705925738",
            "telephone_number": "337-857-5111",
            "fax_number": "337-857-5111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUNGSVILLE CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-02",
        "last_updated": "2012-03-02",
        "status": "A",
        "authorized_official_last_name": "ROMERO",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CHIROPRACTOR/OWNER",
        "authorized_official_telephone_number": "337-857-5111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "LA",
            "license": "1509",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI NUMBER",
            "identifier": "1821232232",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Youngsville, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2012; 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.