Organization Active NPI

Cormier Chiropractic Clinic

Doing business as Dr. Chris Cormier

  • Chiropractor
  • Lafayette, LA
National Provider Identifier
1649584467
Registry record updated Aug 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1157 Issued in LA
Legal business name
CORMIER CHIROPRACTIC CLINIC
Doing business as
Dr. Chris Cormier
Practice address
2304 Kaliste Saloom Rd
Lafayette, LA 70508-6808
Phone
(337) 456-6555
Fax
(337) 706-7221
NPI assigned
Aug 4, 2010
Last updated
Aug 4, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2010

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

Authorized official

Name
Dr. Chris Cormier, D.C.
Title
Owner
Phone
(337) 456-6555

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1157 LA Primary

Addresses

Primary practice location

2304 Kaliste Saloom Rd
Lafayette, LA 70508-6808

Mailing address

2304 Kaliste Saloom Rd
Lafayette, LA 70508-6808
Phone (337) 456-6555

Other names 1

  • Dr. Chris Cormier Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100817001312 LA Part B Supplier - Clinic/Group Practice 9133253867 Receives reassigned benefits from 2 practitioners
Practice locations: Lafayette, LA

National Provider Directory

National Provider Directory

Locations

108 Republic Ave
Ste B
Lafayette, LA 70508
Phone (337) 456-6555

2304 Kaliste Saloom Rd
Lafayette, LA 70508
Phone (337) 456-6555

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1280880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280880000000",
    "number": "1649584467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2304 KALISTE SALOOM RD",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705086808",
            "telephone_number": "337-456-6555",
            "fax_number": "337-706-7221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2304 KALISTE SALOOM RD",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705086808",
            "telephone_number": "337-456-6555",
            "fax_number": "337-706-7221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORMIER CHIROPRACTIC CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-04",
        "last_updated": "2010-08-04",
        "status": "A",
        "authorized_official_last_name": "CORMIER",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "337-456-6555",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "LA",
            "license": "1157",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr. Chris Cormier",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lafayette, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.