Organization Active NPI

Vasconcellos Chiropractic

  • Chiropractor
  • Metairie, LA
National Provider Identifier
1710178579
Registry record updated Jun 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1239 Issued in LA
Legal business name
VASCONCELLOS CHIROPRACTIC
Practice address
722 Phosphor Ave
Metairie, LA 70005-2727
Phone
(504) 835-3736
Fax
(504) 832-8149
NPI assigned
Aug 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2008

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

Authorized official

Name
Dr. Theresa Lynn Harris, DCNPI 1740249903
Title
Chiropractor/Owner
Phone
(504) 835-3736

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 1239 LA Primary

Addresses

Primary practice location

722 Phosphor Ave
Metairie, LA 70005-2727

Mailing address

722 Phosphor Ave
Metairie, LA 70005-2727
Phone (504) 835-3736

Other identifiers 1

IdentifierTypeStateIssuer
G1381OtherLABLUE CROSS

National Provider Directory

National Provider Directory

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": "1186444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214438400000",
    "number": "1710178579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "722 PHOSPHOR AVE",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700052727",
            "telephone_number": "504-835-3736",
            "fax_number": "504-832-8149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "722 PHOSPHOR AVE",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700052727",
            "telephone_number": "504-835-3736",
            "fax_number": "504-832-8149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VASCONCELLOS CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-07",
        "last_updated": "2008-06-26",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "THERESA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "CHIROPRACTOR/OWNER",
        "authorized_official_telephone_number": "504-835-3736",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "LA",
            "license": "1239",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "G1381",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Metairie, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.