NPIMap

Organization Active NPI

Family Chiropractic Center

  • Chiropractor
  • Hammond, LA
National Provider Identifier
1619135308
Registry record updated May 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1039 Issued in LA
Legal business name
FAMILY CHIROPRACTIC CENTER
Practice address
2790 W Church St
Suite 4
Hammond, LA 70401-2860
Phone
(985) 429-0005
Fax
(985) 429-0018
NPI assigned
May 29, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2008

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

Authorized official

Name
Dr. Jay Michael Miller, D.C.
Title
Chiropractic Physician/Owner
Phone
(985) 429-0005

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 1039 LA Primary

Addresses

Primary practice location

2790 W Church St
Suite 4
Hammond, LA 70401-2860

Mailing address

2790 W Church St
Suite 4
Hammond, LA 70401-2860
Phone (985) 429-0005

Other identifiers 1

IdentifierTypeStateIssuer
484987371AOtherLABLUE CROSS

National Provider Directory

National Provider Directory

Locations

2790 W Church St
Ste 4
Hammond, LA 70401
Phone (985) 429-0005

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": "1212019200000",
    "number": "1619135308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2790 W CHURCH ST",
            "address_2": "SUITE 4",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704012860",
            "telephone_number": "985-429-0005",
            "fax_number": "985-429-0018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2790 W CHURCH ST",
            "address_2": "SUITE 4",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704012860",
            "telephone_number": "985-429-0005",
            "fax_number": "985-429-0018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY CHIROPRACTIC CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-29",
        "last_updated": "2008-05-29",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "JAY",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "CHIROPRACTIC PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "985-429-0005",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "LA",
            "license": "1039",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "484987371A",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hammond, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 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.