NPIMap

Organization Active NPI

Acadian Chiropractic & Wellness LLC

  • Chiropractor
  • Baton Rouge, LA
National Provider Identifier
1720434665
Registry record updated May 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1497 Issued in LA
Legal business name
ACADIAN CHIROPRACTIC & WELLNESS LLC
Practice address
8786 Goodwood Blvd
Suite 101
Baton Rouge, LA 70806-7917
Phone
(225) 924-5002
NPI assigned
May 10, 2016
Last updated
May 10, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 10, 2016

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

Authorized official

Name
Dr. Matthew Shelly, D.C.NPI 1912142159
Title
Partner
Phone
(985) 400-1633

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
Chiropractor 111N00000X 1497 LA Primary

Addresses

Primary practice location

8786 Goodwood Blvd
Suite 101
Baton Rouge, LA 70806-7917

Mailing address

8786 Goodwood Blvd
Suite 101
Baton Rouge, LA 70806-7917
Phone (225) 924-5002

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20161212000908 LA Part B Supplier - Clinic/Group Practice 7618257593 Receives reassigned benefits from 2 practitioners
Practice locations: Baton Rouge, LA

National Provider Directory

National Provider Directory

Locations

8786 Goodwood Blvd
Ste 101
Baton Rouge, LA 70806
Phone (225) 924-5002

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1462838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462838400000",
    "number": "1720434665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8786 GOODWOOD BLVD",
            "address_2": "SUITE 101",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708067917",
            "telephone_number": "225-924-5002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8786 GOODWOOD BLVD",
            "address_2": "SUITE 101",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708067917",
            "telephone_number": "225-924-5002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACADIAN CHIROPRACTIC & WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-10",
        "last_updated": "2016-05-10",
        "status": "A",
        "authorized_official_last_name": "SHELLY",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "985-400-1633",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "LA",
            "license": "1497",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2016; 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.