Organization Active NPI

Lacroix Health Center, LLC

  • Independent Medical Examiner Chiropractor
  • Cape Girardeau, MO
National Provider Identifier
1689172900
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Independent Medical Examiner ChiropractorTaxonomy code 111NI0013X
License
006598 Issued in MO
Legal business name
LACROIX HEALTH CENTER, LLC
Practice address
37 Doctors Park Ste 5
Cape Girardeau, MO 63703-4905
Phone
(573) 334-0778
NPI assigned
Feb 1, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Scott Bryan Smith, DCNPI 1235263575
Title
Physician/Owner
Phone
(573) 334-0778

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
Independent Medical Examiner ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NI0013X 006598 MO Primary

Addresses

Primary practice location

37 Doctors Park Ste 5
Cape Girardeau, MO 63703-4905

Mailing address

37 Doctors Park Ste 5
Cape Girardeau, MO 63703-4905
Phone (573) 334-0778

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180509000595 MO Part B Supplier - Clinic/Group Practice 2961766423 Receives reassigned benefits from 1 practitioner
Practice locations: Cape Girardeau, MO

National Provider Directory

National Provider Directory

Locations

37 Doctors Park
Ste 5
Cape Girardeau, MO 63703
Phone (573) 334-0778

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": "1517443200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1689172900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 DOCTORS PARK STE 5",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637034905",
            "telephone_number": "573-334-0778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 DOCTORS PARK STE 5",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637034905",
            "telephone_number": "573-334-0778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LACROIX HEALTH CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-01",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "BRYAN",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "573-334-0778",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111NI0013X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Independent Medical Examiner",
            "state": "MO",
            "license": "006598",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cape Girardeau, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.