Organization Active NPI

KRG Bayou Wellness LLC

  • Health Service Clinic/Center
  • Lafayette, LA
National Provider Identifier
1669338109
Registry record updated Dec 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
KRG BAYOU WELLNESS LLC
Practice address
2011 Kaliste Saloom Rd Ste D
Lafayette, LA 70508-6117
Phone
(337) 345-8999
NPI assigned
Dec 29, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2025

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

Authorized official

Name
Mr. Mark Dolecheck
Title
Owner
Phone
(318) 235-6133

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X Primary

Addresses

Primary practice location

2011 Kaliste Saloom Rd Ste D
Lafayette, LA 70508-6117

Mailing address

225 Dixon Estates Rd
Sterlington, LA 71280-3627
Phone (318) 235-6133

National Provider Directory

National Provider Directory

Locations

2011 Kaliste Saloom Rd
Ste D
Lafayette, LA 70508
Phone (337) 345-8999

NPI Registry JSON

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

{
    "created_epoch": "1766966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1766966400000",
    "number": "1669338109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 DIXON ESTATES RD",
            "city": "STERLINGTON",
            "state": "LA",
            "postal_code": "712803627",
            "telephone_number": "318-235-6133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2011 KALISTE SALOOM RD STE D",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705086117",
            "telephone_number": "337-345-8999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRG BAYOU WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-29",
        "last_updated": "2025-12-29",
        "certification_date": "2025-12-29",
        "status": "A",
        "authorized_official_last_name": "DOLECHECK",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "318-235-6133",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "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 Dec 29, 2025; 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.