BG4G LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1518 Issued in LA

Legal business name

BG4G LLC

Practice address

110 Veterans Blvd
Suite 130
Metairie, LA 70005-3027

Phone

(504) 321-0411

Fax

(504) 321-0412

NPI assigned

Feb 4, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Benjamin J Dichiara, D.C.NPI 1679705834

Title

Owner

Phone

(504) 232-4562

Specialties & licenses 1

Addresses

Other names 1

• Allied Chiropractic and Wellness Doing business as

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Benjamin J Dichiara, D.C.

  • Independent Medical Examiner Chiropractor
  • Metairie, LA
  • NPI 1679705834
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1423008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425945600000",
    "number": "1679963177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23482 JUDITH ST",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704488430",
            "telephone_number": "504-321-0411",
            "fax_number": "504-321-0412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 VETERANS BLVD",
            "address_2": "SUITE 130",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700053027",
            "telephone_number": "504-321-0411",
            "fax_number": "504-321-0412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BG4G LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-04",
        "last_updated": "2015-03-10",
        "status": "A",
        "authorized_official_last_name": "DICHIARA",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "504-232-4562",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "LA",
            "license": "1518",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Allied Chiropractic and Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Chiropractor in Metairie, LA
• Providers in Metairie, LA by specialty
• Chiropractor in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2015; 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.