Active NPI
Erik Lewis Bailey, D.C.
- Chiropractor
- Deridder, LA
National Provider Identifier
1548492010
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1516
- Practice address
- 1606 N Pine St
Deridder, LA 70634-2420 - Phone
- (337) 462-3055
- Fax
- (337) 462-0741
- NPI assigned
- Aug 18, 2009
- Last updated
- Dec 11, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 1516 | LA | Primary |
Addresses
Primary practice location
1606 N Pine St
Deridder, LA 70634-2420
Mailing address
575 Pumpkin Loop
Deridder, LA 70634-7904
Phone (337) 396-9433
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1945 Hwy 190 W
Deridder, LA 70634-6030
Phone (337) 462-3055
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1516 | LA | MD | Clinical Child & Adolescent Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Great South Management LLC | Chiropractor | Past | Accepting new patients |
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": "1250553600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1355184000000",
"number": "1548492010",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "575 PUMPKIN LOOP",
"city": "DERIDDER",
"state": "LA",
"postal_code": "706347904",
"telephone_number": "337-396-9433"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1606 N PINE ST",
"city": "DERIDDER",
"state": "LA",
"postal_code": "706342420",
"telephone_number": "337-462-3055",
"fax_number": "337-462-0741"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAILEY",
"first_name": "ERIK",
"middle_name": "LEWIS",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-08-18",
"last_updated": "2012-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "LA",
"license": "1516",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Deridder, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2012; 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.