Organization Active NPI

Peak Expression Chiropractic LLC

  • Chiropractor
  • Lake Charles, LA
National Provider Identifier
1699436022
Registry record updated Apr 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
PEAK EXPRESSION CHIROPRACTIC LLC
Practice address
943 E McNeese St Ste a
Lake Charles, LA 70607-5835
Phone
(337) 508-2955
Fax
(337) 508-2954
NPI assigned
Jan 7, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2023

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

Authorized official

Name
Michael Leblanc, DCNPI 1780175372
Title
Owner
Phone
(337) 508-2955

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

943 E McNeese St Ste a
Lake Charles, LA 70607-5835

Mailing address

943 E McNeese St Ste a
Lake Charles, LA 70607-5835
Phone (337) 508-2955

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220221001542 LA Part B Supplier - Clinic/Group Practice 7012301815 Receives reassigned benefits from 1 practitioner
Practice locations: Lake Charles, LA

National Provider Directory

National Provider Directory

Locations

943 E McNeese St
Lake Charles, LA 70607
Phone (337) 508-2955

943 E McNeese St
#A
Lake Charles, LA 70607
Phone (337) 508-2955

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": "1641513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680652800000",
    "number": "1699436022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "943 E MCNEESE ST STE A",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706075835",
            "telephone_number": "337-508-2955",
            "fax_number": "337-508-2954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "943 E MCNEESE ST STE A",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706075835",
            "telephone_number": "337-508-2955",
            "fax_number": "337-508-2954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEAK EXPRESSION CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-07",
        "last_updated": "2023-04-05",
        "certification_date": "2023-04-05",
        "status": "A",
        "authorized_official_last_name": "LEBLANC",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "337-508-2955",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Charles, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2023; 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.