Mickey Joseph Jennings, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

891 Issued in LA

Practice address

1152 Canal Blvd
Thibodaux, LA 70301-4534

Phone

(985) 449-1000

Fax

(985) 449-1200

NPI assigned

Feb 15, 2006

Last updated

Nov 26, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Specialty

Chiropractic

Education

Other, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Jennings Chiropractic Clinic

  • Chiropractor
  • Thibodaux, LA
  • NPI 1316071475
  NPD Authorized official
• Logan Authement Enterprises

  dba Active Chiropractic and Rehab

  • Chiropractor
  • Thibodaux, LA
  • NPI 1740175835
  NPD (past)

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

{
    "created_epoch": "1139961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196035200000",
    "number": "1700850617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1152 CANAL BLVD",
            "city": "THIBODAUX",
            "state": "LA",
            "postal_code": "703014534",
            "telephone_number": "985-449-1000",
            "fax_number": "985-449-1200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1152 CANAL BLVD",
            "city": "THIBODAUX",
            "state": "LA",
            "postal_code": "703014534",
            "telephone_number": "985-449-1000",
            "fax_number": "985-449-1200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENNINGS",
        "first_name": "MICKEY",
        "middle_name": "JOSEPH",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-15",
        "last_updated": "2007-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "LA",
            "license": "891",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ranese Echell Jeffery, MD
• Sarah Elliott Jenkins
• Toni Ranae Jenner
• Jennings Chiropractic Clinic
• Barbara Bernice Jennings, LCSW
• Denise Jessie
• John C Hildenbrand IV LLC
• John J Jones Jr MD Apmc
• Alexis Johnson, MS
• Amy M. Johnson, RN

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.