Individual provider Active NPI

Van Galjour III, DC

  • Chiropractor
  • Covington, LA
National Provider Identifier
1710616255
Registry record updated Jun 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIR010717 Issued in GA
Practice address
187 Greenbrier Blvd
Covington, LA 70433-7298
Phone
(985) 291-3207
NPI assigned
Jun 9, 2022
Last updated
Jun 18, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHIR010717 GA Primary

Addresses

Primary practice location

187 Greenbrier Blvd
Covington, LA 70433-7298

Mailing address

111 Jasmine Dr
Covington, LA 70433-9177
Phone (985) 291-3207

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
CHIR010717GAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Galjour Enterprises LLC Chiropractor Current Accepting new patients

Locations

187 Greenbrier Blvd
Ste B
Covington, LA 70433
Phone (985) 809-3250

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1654732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750204800000",
    "number": "1710616255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 JASMINE DR",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704339177",
            "telephone_number": "985-291-3207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "187 GREENBRIER BLVD",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704337298",
            "telephone_number": "985-291-3207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALJOUR",
        "first_name": "VAN",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-06-09",
        "last_updated": "2025-06-18",
        "certification_date": "2025-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR010717",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Covington, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2025; 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.