Organization Active NPI

Damon L Cormier DC Apcc

Doing business as Natures Way Chiropractic

  • Chiropractor
  • Lake Charles, LA
National Provider Identifier
1548428311
Registry record updated Feb 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
953 Issued in LA
Legal business name
DAMON L CORMIER DC APCC
Doing business as
Natures Way Chiropractic
Practice address
1210 E McNeese St
Lake Charles, LA 70607
Phone
(337) 502-5303
Fax
(337) 479-2391
NPI assigned
May 29, 2008
Last updated
Feb 8, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2010

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

Authorized official

Name
Dr. Damon Cormier, D.C.NPI 1104809540
Title
Owner-Chiropractor
Phone
(337) 502-5303

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
Chiropractor 111N00000X 953 LA Primary

Addresses

Primary practice location

1210 E McNeese St
Lake Charles, LA 70607

Mailing address

1210 E McNeese St
Lake Charles, LA 70607
Phone (337) 502-5303

Other identifiers 2

IdentifierTypeStateIssuer
350028843OtherLARAILROAD MEDICARE
438113863BOtherLABLUE CROSS BLUE SHIELD

Other names 1

  • Natures Way Chiropractic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100324001175 LA Part B Supplier - Clinic/Group Practice 9537295969 Receives reassigned benefits from 1 practitioner
Practice locations: Lake Charles, LA

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

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": "1212019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265587200000",
    "number": "1548428311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1210 E MCNEESE ST",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "70607",
            "telephone_number": "337-502-5303",
            "fax_number": "337-479-2391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1210 E MCNEESE ST",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "70607",
            "telephone_number": "337-502-5303",
            "fax_number": "337-479-2391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAMON L CORMIER DC APCC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-29",
        "last_updated": "2010-02-08",
        "status": "A",
        "authorized_official_last_name": "CORMIER",
        "authorized_official_first_name": "DAMON",
        "authorized_official_title_or_position": "OWNER-CHIROPRACTOR",
        "authorized_official_telephone_number": "337-502-5303",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "LA",
            "license": "953",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "350028843",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "438113863B",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Natures Way Chiropractic",
            "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 Feb 8, 2010; 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.