Atlas Integrative Medicine, LLC

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

Legal business name

ATLAS INTEGRATIVE MEDICINE, LLC

Practice address

1939 Southern Loop Ste O
Shreveport, LA 71106-8342

Phone

(318) 536-3155

NPI assigned

Oct 23, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Kyle Mayfield, D.C.NPI 1760127740

Title

Owner

Phone

(318) 366-3712

Specialties & licenses 1

Addresses

Other names 1

• AIM Chiropractic Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kyle Andrew Mayfield, DC

  • Chiropractor
  • Shreveport, LA
  • NPI 1760127740
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1698019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698019200000",
    "number": "1619749702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2405 LINE AVE",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711043019",
            "telephone_number": "318-828-1517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1939 SOUTHERN LOOP STE O",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711068342",
            "telephone_number": "318-536-3155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLAS INTEGRATIVE MEDICINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-23",
        "last_updated": "2023-10-23",
        "certification_date": "2023-10-23",
        "status": "A",
        "authorized_official_last_name": "MAYFIELD",
        "authorized_official_first_name": "KYLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "318-366-3712",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Sports Physician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AIM Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Courtney Latasha Atkins
• Daqabius M Atkins
• Jenna N Atkinson
• Megan K Atkinson, FNP-BC
• Tricia Ann Atkisson, MOT, LOTR
• Sundeep Atluri, M.D.
• Atossa Stanley MD and Willis-Knighton Medical Center
• Kallie Attig-Naffziger, MD
• Carlous Ruth Atwood, LPN
• David J Aubrey, B.A.

• Sports Physician Chiropractor in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Sports Physician Chiropractor in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2023; 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.