Organization Active NPI

Kulaga Chiropractic, LLC

  • Chiropractor
  • Lake Charles, LA
National Provider Identifier
1659650646
Registry record updated Aug 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1547 Issued in LA
Legal business name
KULAGA CHIROPRACTIC, LLC
Practice address
1210 E McNeese St
Lake Charles, LA 70607-4756
Phone
(337) 502-5303
Fax
(337) 479-2391
NPI assigned
Aug 9, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2011

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

Authorized official

Name
Joseph P Kulaga, DCNPI 1174855662
Title
Member
Phone
(337) 304-8895

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 1547 LA Primary

Addresses

Primary practice location

1210 E McNeese St
Lake Charles, LA 70607-4756

Mailing address

1210 E McNeese St
Lake Charles, LA 70607-4756
Phone (337) 502-5303

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110914000480 LA Part B Supplier - Clinic/Group Practice 4082885546 Receives reassigned benefits from 1 practitioner
Practice locations: Lake Charles, LA

National Provider Directory

National Provider Directory

Locations

5656 Nelson Rd
Ste A1
Lake Charles, LA 70605
Phone (337) 240-6619

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": "1312848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312848000000",
    "number": "1659650646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1210 E MCNEESE ST",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706074756",
            "telephone_number": "337-502-5303",
            "fax_number": "337-479-2391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1210 E MCNEESE ST",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706074756",
            "telephone_number": "337-502-5303",
            "fax_number": "337-479-2391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KULAGA CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-09",
        "last_updated": "2011-08-09",
        "status": "A",
        "authorized_official_last_name": "KULAGA",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "337-304-8895",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "LA",
            "license": "1547",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Charles, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2011; 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.