Organization Active NPI

Mosaic Chiropractic

  • Chiropractor
  • Mandeville, LA
National Provider Identifier
1659568616
Registry record updated Jun 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1069 Issued in LA
Legal business name
MOSAIC CHIROPRACTIC
Practice address
1901 Highway 190
Unit M223
Mandeville, LA 70448-3470
Phone
(504) 421-7246
NPI assigned
Oct 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2013

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

Authorized official

Name
Dr. Denise Florane, BS, DC, C.AD, DACACDNPI 1023147337
Title
Chiropractor
Phone
(504) 421-7246

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 1069 LA Primary

Addresses

Primary practice location

1901 Highway 190
Unit M223
Mandeville, LA 70448-3470

Mailing address

1901 Highway 190
Unit M223
Mandeville, LA 70448-3470
Phone (504) 421-7246

Other identifiers 1

IdentifierTypeStateIssuer
436313622BOtherLABLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1191369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371081600000",
    "number": "1659568616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 HIGHWAY 190",
            "address_2": "UNIT M223",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704483470",
            "telephone_number": "504-421-7246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 HIGHWAY 190",
            "address_2": "UNIT M223",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704483470",
            "telephone_number": "504-421-7246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOSAIC CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-03",
        "last_updated": "2013-06-13",
        "status": "A",
        "authorized_official_last_name": "FLORANE",
        "authorized_official_first_name": "DENISE",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "504-421-7246",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "BS, DC, C.AD, DACACD"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "LA",
            "license": "1069",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "436313622B",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mandeville, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2013; 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.