NPIMap

Organization Active NPI

Lift Chiro Nola LLC

  • Chiropractor
  • Marrero, LA
National Provider Identifier
1750717443
Registry record updated Jul 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1608 Issued in LA
Legal business name
LIFT CHIRO NOLA LLC
Doing business as
LIFT CHIROPRACTIC
Practice address
2201 Barataria Blvd
Suite F
Marrero, LA 70072-5566
Phone
(504) 218-4891
Fax
(504) 218-4892
NPI assigned
Sep 25, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2015

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

Authorized official

Name
Dr. Quoc Nguyen, DC
Title
Chiropractor
Phone
(504) 218-4891

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 1608 LA Primary

Addresses

Primary practice location

2201 Barataria Blvd
Suite F
Marrero, LA 70072-5566

Mailing address

2201 Barataria Boulevard
Suite F
Marrero, LA 70072
Phone (504) 218-4891

Other names 1

  • LIFT CHIROPRACTIC Doing business as

National Provider Directory

National Provider Directory

Locations

2201 Barataria Blvd
Ste F
Marrero, LA 70072
Phone (504) 218-4891

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": "1380067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437955200000",
    "number": "1750717443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2201 BARATARIA BOULEVARD",
            "address_2": "SUITE F",
            "city": "MARRERO",
            "state": "LA",
            "postal_code": "70072",
            "telephone_number": "504-218-4891",
            "fax_number": "504-218-4892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 BARATARIA BLVD",
            "address_2": "SUITE F",
            "city": "MARRERO",
            "state": "LA",
            "postal_code": "700725566",
            "telephone_number": "504-218-4891",
            "fax_number": "504-218-4892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFT CHIRO NOLA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-25",
        "last_updated": "2015-07-27",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "QUOC",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "504-218-4891",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "LA",
            "license": "1608",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LIFT CHIROPRACTIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Marrero, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2015; 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.