Organization Active NPI

Madisonville Chiropractic Clinic, Inc.

  • Chiropractor
  • Covington, LA
National Provider Identifier
1720125719
Registry record updated Mar 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
MADISONVILLE CHIROPRACTIC CLINIC, INC.
Practice address
612 S Tyler St
Covington, LA 70433-3346
Phone
(985) 845-1825
Fax
(985) 845-1823
NPI assigned
Jan 31, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2023

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

Authorized official

Name
Dr. Harvey J Nicaud Jr., D.C.NPI 1790973568
Title
Owner
Phone
(985) 845-1825

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

612 S Tyler St
Covington, LA 70433-3346

Mailing address

216 Highway 21
Madisonville, LA 70447-9676
Phone (985) 845-1825

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080929000399 LA Part B Supplier - Clinic/Group Practice 8022185396 Receives reassigned benefits from 1 practitioner
Practice locations: Covington, LA; Bogalusa, LA

National Provider Directory

National Provider Directory

Locations

750 Avenue F
Bogalusa, LA 70427
Phone (985) 845-1825

70325 Highway 1077
Ste 101
Covington, LA 70433
Phone (985) 845-1825

612 S Tyler St
Covington, LA 70433
Phone (877) 822-8161

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": "1170201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679616000000",
    "number": "1720125719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "216 HIGHWAY 21",
            "city": "MADISONVILLE",
            "state": "LA",
            "postal_code": "704479676",
            "telephone_number": "985-845-1825",
            "fax_number": "985-845-1823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "612 S TYLER ST",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704333346",
            "telephone_number": "985-845-1825",
            "fax_number": "985-845-1823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MADISONVILLE CHIROPRACTIC CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-31",
        "last_updated": "2023-03-24",
        "certification_date": "2023-03-24",
        "status": "A",
        "authorized_official_last_name": "NICAUD",
        "authorized_official_first_name": "HARVEY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "985-845-1825",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "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 Mar 24, 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.