Individual provider Active NPI

Jonathan Poole, D.C.

  • Chiropractor
  • Gretna, LA
National Provider Identifier
1639891591
Registry record updated Sep 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1934 Issued in LA
Practice address
2802 Belle Chasse Hwy
Gretna, LA 70053-6769
Phone
(504) 717-0029
NPI assigned
Sep 16, 2022
Last updated
Sep 16, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 16, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1934 LA Primary

Addresses

Primary practice location

2802 Belle Chasse Hwy
Gretna, LA 70053-6769

Mailing address

2802 Belle Chasse Hwy
Gretna, LA 70053-6769
Phone (504) 717-0029

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230831002213 LA Practitioner - Chiropractic 5496118911 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
La Health Solutions LLCGroup PAC ID 5597097576, 7 clinicians

Practice addresses (Care Compare)

3001 Division St
Suite 105
Metairie, LA 70002-5854
Phone (504) 832-3937

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1934LAMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
La Health Solutions, LLC Chiropractor CurrentSince May 4, 2023 Accepting new patients
La Tchops LLC Chiropractor PastSince May 4, 2023 Accepting new patients

Locations

1524 W Airline Hwy
La Place, LA 70068
Phone (985) 233-2600

3001 Division St
Ste 105
Metairie, LA 70002
Phone (504) 832-3937

56634 Bosworth St
Slidell, LA 70458
Phone (985) 641-2222

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": "1663286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663286400000",
    "number": "1639891591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2802 BELLE CHASSE HWY",
            "city": "GRETNA",
            "state": "LA",
            "postal_code": "700536769",
            "telephone_number": "504-717-0029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2802 BELLE CHASSE HWY",
            "city": "GRETNA",
            "state": "LA",
            "postal_code": "700536769",
            "telephone_number": "504-717-0029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POOLE",
        "first_name": "JONATHAN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-09-16",
        "last_updated": "2022-09-16",
        "certification_date": "2022-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "LA",
            "license": "1934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gretna, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2022; 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.

Verify at the official NPI Registry.