Organization Active NPI

Logan Authement Enterprises

  • Chiropractor
  • Thibodaux, LA
National Provider Identifier
1740175835
Registry record updated Jun 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
LOGAN AUTHEMENT ENTERPRISES
Practice address
1152 Canal Blvd
Thibodaux, LA 70301-4534
Phone
(985) 449-1000
Fax
(985) 449-1200
NPI assigned
Jun 10, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2025

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

Authorized official

Name
Logan Authement, DCNPI 1164214201
Title
Owner
Phone
(985) 859-2296

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

1152 Canal Blvd
Thibodaux, LA 70301-4534

Mailing address

1152 Canal Blvd
Thibodaux, LA 70301-4534
Phone (985) 449-1000

Other names 1

  • Active Chiropractic and Rehab Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250806000371 LA Part B Supplier - Clinic/Group Practice 4284149675 Receives reassigned benefits from 1 practitioner
Practice locations: Thibodaux, LA

National Provider Directory

National Provider Directory

Locations

1152 Canal Blvd
Thibodaux, LA 70301
Phone (985) 449-1000

Practitioners & affiliated clinicians

Practitioners 2

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": "1749513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749513600000",
    "number": "1740175835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1152 CANAL BLVD",
            "city": "THIBODAUX",
            "state": "LA",
            "postal_code": "703014534",
            "telephone_number": "985-449-1000",
            "fax_number": "985-449-1200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1152 CANAL BLVD",
            "city": "THIBODAUX",
            "state": "LA",
            "postal_code": "703014534",
            "telephone_number": "985-449-1000",
            "fax_number": "985-449-1200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOGAN AUTHEMENT ENTERPRISES",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-10",
        "last_updated": "2025-06-10",
        "certification_date": "2025-06-10",
        "status": "A",
        "authorized_official_last_name": "AUTHEMENT",
        "authorized_official_first_name": "LOGAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "985-859-2296",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Active Chiropractic and Rehab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Thibodaux, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2025; 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.