Organization Active NPI

J C Clement Inc.

  • Specialist
  • Lake Charles, LA
National Provider Identifier
1548405764
Registry record updated Dec 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
LA0048 Issued in LA
Legal business name
J C CLEMENT INC.
Doing business as
Special Touch Therapeutic Massage
Practice address
1737 W. Sale Rd.
Suite 103
Lake Charles, LA 70605
Phone
(337) 480-1100
Fax
(337) 480-1174
NPI assigned
Dec 3, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2008

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

Authorized official

Name
Mrs. Joy C Clement Derise, LMTNPI 1699920181
Title
Owner/Therapist
Phone
(337) 480-1100

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
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X LA0048 LA Primary

Addresses

Primary practice location

1737 W. Sale Rd.
Suite 103
Lake Charles, LA 70605

Mailing address

1737 W. Sale Rd.
Suite 103
Lake Charles, LA 70605
Phone (337) 480-1100

Other names 1

  • Special Touch Therapeutic Massage Doing business as

National Provider Directory

National Provider Directory

Locations

1737 W Sale Rd
Ste 103
Lake Charles, LA 70605
Phone (337) 480-1100

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": "1228262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228262400000",
    "number": "1548405764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1737 W. SALE RD.",
            "address_2": "SUITE 103",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "70605",
            "telephone_number": "337-480-1100",
            "fax_number": "337-480-1174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1737 W. SALE RD.",
            "address_2": "SUITE 103",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "70605",
            "telephone_number": "337-480-1100",
            "fax_number": "337-480-1174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J C CLEMENT INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-03",
        "last_updated": "2008-12-03",
        "status": "A",
        "authorized_official_last_name": "CLEMENT DERISE",
        "authorized_official_first_name": "JOY",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "337-480-1100",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "LA",
            "license": "LA0048",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Special Touch Therapeutic Massage",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lake Charles, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.