Individual provider Active NPI

Damien Chaisson

  • Chiropractor
  • Lafayette, LA
National Provider Identifier
1669848602
Registry record updated Aug 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1747 Issued in LA
Practice address
1304 Bertrand Dr
Suite D4
Lafayette, LA 70506-9107
Phone
(337) 237-2225
Fax
(337) 237-2226
NPI assigned
Aug 13, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1747 LA Primary

Addresses

Primary practice location

1304 Bertrand Dr
Suite D4
Lafayette, LA 70506-9107

Mailing address

1304 Bertrand Dr
Suite D4
Lafayette, LA 70506-9107
Phone (337) 237-2225

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151008000552 LA Practitioner - Chiropractic 8123336302 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lightfoot Clinic of ChiropracticGroup PAC ID 9032278775, 3 clinicians

Practice addresses (Care Compare)

1304 Bertrand Dr
Suite D4
Lafayette, LA 70506-9104
Phone (337) 237-2225

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1747LAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Lightfoot Clinic of Chiropractic Chiropractor CurrentSince Sep 1, 2015 Accepting new patients
Richardson Chiropractic Group Chiropractor CurrentSince Aug 1, 2020 Accepting new patients

Locations

1304 Bertrand Dr
Ste D4
Lafayette, LA 70506
Phone (337) 234-4987

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1439424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439424000000",
    "number": "1669848602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1304 BERTRAND DR",
            "address_2": "SUITE D4",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705069107",
            "telephone_number": "337-237-2225",
            "fax_number": "337-237-2226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1304 BERTRAND DR",
            "address_2": "SUITE D4",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705069107",
            "telephone_number": "337-237-2225",
            "fax_number": "337-237-2226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAISSON",
        "first_name": "DAMIEN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-08-13",
        "last_updated": "2015-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "LA",
            "license": "1747",
            "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 Aug 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.