NPIMap

Organization Active NPI

Jennings Family Chiropractic

  • Chiropractor
  • Jennings, LA
National Provider Identifier
1750402749
Registry record updated Aug 14, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1121 Issued in LA
Legal business name
JENNINGS FAMILY CHIROPRACTIC
Practice address
15375 Highway 26
Jennings, LA 70546-3101
Phone
(337) 824-8200
Fax
(337) 824-8277
NPI assigned
Apr 3, 2007
Last updated
Aug 14, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2007

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

Authorized official

Name
Dr. Kevin Joe Lenderman, D.C.NPI 1235260324
Title
Owner Doctor
Phone
(337) 824-8200

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1121 LA Primary

Addresses

Primary practice location

15375 Highway 26
Jennings, LA 70546-3101

Mailing address

15375 Highway 26
Jennings, LA 70546-3101
Phone (337) 824-8200

Other identifiers 1

IdentifierTypeStateIssuer
1531766MedicaidLA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1175558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187049600000",
    "number": "1750402749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15375 HIGHWAY 26",
            "city": "JENNINGS",
            "state": "LA",
            "postal_code": "705463101",
            "telephone_number": "337-824-8200",
            "fax_number": "337-824-8277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15375 HIGHWAY 26",
            "city": "JENNINGS",
            "state": "LA",
            "postal_code": "705463101",
            "telephone_number": "337-824-8200",
            "fax_number": "337-824-8277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNINGS FAMILY CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-03",
        "last_updated": "2007-08-14",
        "status": "A",
        "authorized_official_last_name": "LENDERMAN",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "JOE",
        "authorized_official_title_or_position": "OWNER DOCTOR",
        "authorized_official_telephone_number": "337-824-8200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "LA",
            "license": "1121",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1531766",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jennings, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2007; 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.