Individual provider Active NPI

Jason James Tiel, D.C.

  • Chiropractor
  • Lafayette, LA
National Provider Identifier
1659525202
Registry record updated Jan 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1558 Issued in LA
Practice address
2801 Kaliste Saloom Rd Ste 200
Lafayette, LA 70508-7181
Phone
(337) 984-8605
NPI assigned
Nov 10, 2008
Last updated
Jan 13, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1558 LA Primary

Addresses

Primary practice location

2801 Kaliste Saloom Rd Ste 200
Lafayette, LA 70508-7181

Mailing address

2801 Kaliste Saloom Rd Ste 200
Lafayette, LA 70508-7181
Phone (337) 984-8605

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100810000410 LA Practitioner - Chiropractic 0345391736 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2801 Kaliste Saloom Rd
Suite 200
Lafayette, LA 70508-7181
Phone (337) 984-8605

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1558LAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Jason J Tiel DC PLLC Chiropractor CurrentSince Jun 24, 2009 Accepting new patients

Locations

2801 Kaliste Saloom Rd
Ste 200
Lafayette, LA 70508
Phone (337) 739-7278

510 W Savidge St
Spring Lake, MI 49456
Phone (616) 850-0588

Organizations & group practices 1

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": "1226275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736726400000",
    "number": "1659525202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 KALISTE SALOOM RD STE 200",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705087181",
            "telephone_number": "337-984-8605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 KALISTE SALOOM RD STE 200",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705087181",
            "telephone_number": "337-984-8605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIEL",
        "first_name": "JASON",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-11-10",
        "last_updated": "2025-01-13",
        "certification_date": "2025-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "LA",
            "license": "1558",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jan 13, 2025; 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.