Innate Potential Chiropractic LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1661 Issued in LA

Legal business name

INNATE POTENTIAL CHIROPRACTIC LLC

Practice address

2163 Gause Blvd W Ste 4
Slidell, LA 70460-4132

Phone

(985) 250-4465

Fax

(504) 335-0740

NPI assigned

Mar 7, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Jonny D Roberts Jr., DCNPI 1891048344

Title

Ceo/Owner

Phone

(985) 900-4210

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Natural Healing Family Chiropractic Doing business as

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Locations

Practitioners 1

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

• Jonny David Roberts Jr., D.C.

  • Chiropractor
  • Slidell, LA
  • NPI 1891048344
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1362614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723420800000",
    "number": "1689915183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60154 NINA DR",
            "city": "LACOMBE",
            "state": "LA",
            "postal_code": "704453938",
            "telephone_number": "985-900-4210",
            "fax_number": "504-335-0740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2163 GAUSE BLVD W STE 4",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704604132",
            "telephone_number": "985-250-4465",
            "fax_number": "504-335-0740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNATE POTENTIAL CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-07",
        "last_updated": "2024-08-12",
        "certification_date": "2024-08-12",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "JONNY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "985-900-4210",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "LA",
            "license": "1661",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1891048344",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Natural Healing Family Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ileana J Tandron MD Apmc
• Indacare
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• Jennifer Ingliss
• Ingrid K. Roskos, MD, Ampc
• Innovative Health Services LLC
• Innovative Health Services LLC
• Innovative Health Services LLC
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• Innovative Hospitalist Services LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2024; 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.