Active NPI
Jason L Maggio, D.C.
- Chiropractor
- Shreveport, LA
National Provider Identifier
1649456278
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1453
- Practice address
- 8575 Fern Ave
Suite 101
Shreveport, LA 71105-5676 - Phone
- (318) 797-2587
- Fax
- (318) 797-2588
- NPI assigned
- Jan 14, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 1453 | LA | Primary |
Addresses
Primary practice location
8575 Fern Ave
Suite 101
Shreveport, LA 71105-5676
Mailing address
8575 Fern Ave
Suite 101
Shreveport, LA 71105-5676
Phone (318) 797-2587
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1453 | LA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1200268800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1200268800000",
"number": "1649456278",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8575 FERN AVE",
"address_2": "SUITE 101",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711055676",
"telephone_number": "318-797-2587",
"fax_number": "318-797-2588"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8575 FERN AVE",
"address_2": "SUITE 101",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711055676",
"telephone_number": "318-797-2587",
"fax_number": "318-797-2588"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAGGIO",
"first_name": "JASON",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-01-14",
"last_updated": "2008-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "LA",
"license": "1453",
"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 Jan 14, 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.