Organization Active NPI

Chiropractic Total Wellness Center, LLC

  • Chiropractor
  • Destrehan, LA
National Provider Identifier
1659651602
Registry record updated Mar 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
CHIROPRACTIC TOTAL WELLNESS CENTER, LLC
Practice address
1950 Ormond Blvd Ste a
Destrehan, LA 70047-3810
Phone
(985) 764-4004
Fax
(985) 725-3300
NPI assigned
Aug 23, 2011
Last updated
Mar 1, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2023

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

Authorized official

Name
Melissa Marie Arceneaux-Myers, D.C.
Title
Chiropractor
Phone
(985) 764-4004

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1610 LA
Chiropractor 111N00000X NU Primary
Internal Medicine Physician 207R00000X NU

Addresses

Primary practice location

1950 Ormond Blvd Ste a
Destrehan, LA 70047-3810

Mailing address

1950 Ormond Blvd Ste a
Destrehan, LA 70047-3810
Phone (985) 764-4004

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150217000335 LA Part B Supplier - Clinic/Group Practice 7517282445 Receives reassigned benefits from 1 practitioner
Practice locations: Destrehan, LA

National Provider Directory

National Provider Directory

Locations

1950 Ormond Blvd
Ste A
Destrehan, LA 70047
Phone (985) 764-4004

1972 Ormond Blvd
Ste A
Destrehan, LA 70047
Phone (985) 307-0977

Practitioners & affiliated clinicians

Practitioners 1

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": "1314057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677628800000",
    "number": "1659651602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 ORMOND BLVD STE A",
            "city": "DESTREHAN",
            "state": "LA",
            "postal_code": "700473810",
            "telephone_number": "985-764-4004",
            "fax_number": "985-725-3300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1950 ORMOND BLVD STE A",
            "city": "DESTREHAN",
            "state": "LA",
            "postal_code": "700473810",
            "telephone_number": "985-764-4004",
            "fax_number": "985-725-3300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIROPRACTIC TOTAL WELLNESS CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-23",
        "last_updated": "2023-03-01",
        "certification_date": "2023-03-01",
        "status": "A",
        "authorized_official_last_name": "ARCENEAUX-MYERS",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "985-764-4004",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "LA",
            "license": "1610",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Destrehan, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2023; 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.