NPIMap

Organization Active NPI

Zahn Chiropractic Clinic ( a Professional Corporation)

  • Clinic/Center
  • Shreveport, LA
National Provider Identifier
1578722500
Registry record updated Apr 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
374 Issued in LA
Legal business name
ZAHN CHIROPRACTIC CLINIC ( A PROFESSIONAL CORPORATION)
Practice address
1005 Southland Park Drive
Shreveport, LA 71118
Phone
(318) 688-1221
Fax
(318) 686-4714
NPI assigned
Jun 5, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2012

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

Authorized official

Name
Dr. Robert Leonard Zahn, DE CNPI 1093897894
Title
President
Phone
(318) 688-1221

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
Clinic/Center 261Q00000X 374 LA Primary

Addresses

Primary practice location

1005 Southland Park Drive
Shreveport, LA 71118

Mailing address

1005 Southland Park Drive
Shreveport, LA 71118
Phone (318) 688-1221

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120418000353 LA Part B Supplier - Clinic/Group Practice 2860653805 Receives reassigned benefits from 2 practitioners
Practice locations: Shreveport, LA

National Provider Directory

National Provider Directory

Locations

1005 Southland Park Dr
Shreveport, LA 71118
Phone (318) 688-1221

Practitioners & affiliated clinicians

Practitioners 4

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": "1212624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334275200000",
    "number": "1578722500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1005 SOUTHLAND PARK DRIVE",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "71118",
            "telephone_number": "318-688-1221",
            "fax_number": "318-686-4714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 SOUTHLAND PARK DRIVE",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "71118",
            "telephone_number": "318-688-1221",
            "fax_number": "318-686-4714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZAHN CHIROPRACTIC CLINIC ( A PROFESSIONAL CORPORATION)",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-05",
        "last_updated": "2012-04-13",
        "status": "A",
        "authorized_official_last_name": "ZAHN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "LEONARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "318-688-1221",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DE C"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "LA",
            "license": "374",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shreveport, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 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.