Active NPI
Lacroix Health Center, LLC
- Independent Medical Examiner Chiropractor
- Cape Girardeau, MO
National Provider Identifier
1689172900
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Independent Medical Examiner Chiropractor
- License
- 006598
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Scott Bryan Smith, DC
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Independent Medical Examiner Chiropractor | 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 DirectoryLocations
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.