Organization Active NPI

Robert R Dale, LLC

  • Chiropractor
  • La Place, LA
National Provider Identifier
1578835906
Registry record updated Feb 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
763 Issued in LA
Legal business name
ROBERT R DALE, LLC
Practice address
1108 W Airline Hwy
La Place, LA 70068-3717
Phone
(985) 652-7904
Fax
(985) 651-2981
NPI assigned
Feb 1, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2012

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

Authorized official

Name
Robert Rodney Dale, DC
Title
Physician/Owner
Phone
(985) 652-7904

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 763 LA Primary

Addresses

Primary practice location

1108 W Airline Hwy
La Place, LA 70068-3717

Mailing address

1108 W Airline Hwy
La Place, LA 70068-3717
Phone (985) 652-7904

Other identifiers 1

IdentifierTypeStateIssuer
1953512MedicaidLA

Other names 1

  • River Parishes Chiropractic Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1328054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328054400000",
    "number": "1578835906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1108 W AIRLINE HWY",
            "city": "LA PLACE",
            "state": "LA",
            "postal_code": "700683717",
            "telephone_number": "985-652-7904",
            "fax_number": "985-651-2981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1108 W AIRLINE HWY",
            "city": "LA PLACE",
            "state": "LA",
            "postal_code": "700683717",
            "telephone_number": "985-652-7904",
            "fax_number": "985-651-2981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT R DALE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-01",
        "last_updated": "2012-02-01",
        "status": "A",
        "authorized_official_last_name": "DALE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "RODNEY",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "985-652-7904",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "LA",
            "license": "763",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1953512",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "River Parishes Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in La Place, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2012; 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.