Organization Active NPI

Abshire Chiropractic Sports Center

  • Sports Physician Chiropractor
  • Lafayette, LA
National Provider Identifier
1730221128
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
1277 Issued in LA
Legal business name
ABSHIRE CHIROPRACTIC SPORTS CENTER
Practice address
913 S College Rd
Suite 105
Lafayette, LA 70503-3060
Phone
(337) 261-0100
Fax
(337) 261-5589
NPI assigned
Feb 13, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Jason P. Abshire, D.C.NPI 1376510768
Title
Doctor of Chiropractic
Phone
(337) 261-0100

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
Sports Physician Chiropractor 111NS0005X 1277 LA Primary

Addresses

Primary practice location

913 S College Rd
Suite 105
Lafayette, LA 70503-3060

Mailing address

913 S College Rd
Suite 105
Lafayette, LA 70503-3060
Phone (337) 261-0100

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050401000625 LA Part B Supplier - Clinic/Group Practice 4789631722 Receives reassigned benefits from 2 practitioners
Practice locations: Lafayette, LA

National Provider Directory

National Provider Directory

Locations

1105 S College Rd
Ste A
Lafayette, LA 70503
Phone (337) 232-9113

913 S College Rd
#105
Lafayette, LA 70503
Phone (337) 261-0100

913 S College Rd
Ste 105
Lafayette, LA 70503
Phone (337) 261-0100

Practitioners & affiliated clinicians

Practitioners 3

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": "1171324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1730221128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "913 S COLLEGE RD",
            "address_2": "SUITE 105",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705033060",
            "telephone_number": "337-261-0100",
            "fax_number": "337-261-5589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "913 S COLLEGE RD",
            "address_2": "SUITE 105",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705033060",
            "telephone_number": "337-261-0100",
            "fax_number": "337-261-5589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABSHIRE CHIROPRACTIC SPORTS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ABSHIRE",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "DOCTOR OF CHIROPRACTIC",
        "authorized_official_telephone_number": "337-261-0100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "LA",
            "license": "1277",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.