Moss Bluff Chiropractic Clinic

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

MOSS BLUFF CHIROPRACTIC CLINIC

Practice address

119 Tahoe Dr
Lake Charles, LA 70611-5109

Phone

(337) 855-6306

Fax

(337) 855-7012

NPI assigned

Oct 10, 2007

Last updated

Mar 20, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Chad Richard, D.C.NPI 1720174170

Title

Owner

Phone

(337) 855-6306

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Locations

Practitioners 5

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.

• Chad Richard, D.C.

  • Chiropractor
  • Lake Charles, LA
  • NPI 1720174170
  Medicare reassignment Care Compare group NPD Authorized official
• Eric Anthony Harroun, D.C.

  • Chiropractor
  • Lake Charles, LA
  • NPI 1992820989
  Medicare reassignment Care Compare group NPD
• Daniel Paul Fontenot, DC

  • Chiropractor
  • Lake Charles, LA
  • NPI 1760991400
  NPD (past)
• Dylan Jay Meche, D.C.

  • Chiropractor
  • Lake Charles, LA
  • NPI 1518834464
  NPD (past)
• Matthew Hunter Schexnider, D.C.

  • Chiropractor
  • Moss Bluff, LA
  • NPI 1508790809
  NPD (past)

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

{
    "created_epoch": "1191974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710892800000",
    "number": "1659569119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12571",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706122571",
            "telephone_number": "337-855-6306",
            "fax_number": "337-855-7012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 TAHOE DR",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706115109",
            "telephone_number": "337-855-6306",
            "fax_number": "337-855-7012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOSS BLUFF CHIROPRACTIC CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-10",
        "last_updated": "2024-03-20",
        "certification_date": "2024-03-20",
        "status": "A",
        "authorized_official_last_name": "RICHARD",
        "authorized_official_first_name": "CHAD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "337-855-6306",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Craig G Morton, M.D.
• Steven Mortrud, MOT
• Jaydn Morvant
• Edward Franklin Moschler Jr., MD
• Philip D Moses, DDS
• Moss Bluff Physical Therapy, LLC
• Lucien Kennedy Moss Jr., M.D.
• Michael V Moss, PT
• Shemica Moss, MHS
• William C Moss, M.D.

• Chiropractor in Lake Charles, LA
• Providers in Lake Charles, LA by specialty
• Chiropractor in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2024; 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.