Organization Active NPI

Jennings Family Chiropractic Clinic Inc.

Doing business as Dr Kevin's Wellness Clinic

  • Chiropractor
  • Lafayette, LA
National Provider Identifier
1750920237
Registry record updated Dec 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
JENNINGS FAMILY CHIROPRACTIC CLINIC INC.
Doing business as
Dr Kevin's Wellness Clinic
Practice address
113 Flagg Place Suite a
Lafayette, LA 70508-7025
Phone
(337) 983-2273
NPI assigned
Dec 31, 2019
Last updated
Dec 31, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2019

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

Authorized official

Name
Ruby Baxter
Title
Corporate Secretary
Phone
(214) 282-7414

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X NU Primary

Addresses

Primary practice location

113 Flagg Place Suite a
Lafayette, LA 70508-7025

Mailing address

113 Flagg Place Suite a
Lafayette, LA 70508-7025
Phone (337) 983-2273

Other names 1

  • Dr Kevin's Wellness Clinic Doing business as

National Provider Directory

National Provider Directory

Locations

113 Flagg Pl
Bldg 6
Lafayette, LA 70508

113 Flagg Pl
Ste A
Lafayette, LA 70508
Phone (337) 368-8558

NPI Registry JSON

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

{
    "created_epoch": "1577750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1577750400000",
    "number": "1750920237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 FLAGG PLACE SUITE A",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705087025",
            "telephone_number": "337-983-2273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 FLAGG PLACE SUITE A",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705087025",
            "telephone_number": "337-983-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNINGS FAMILY CHIROPRACTIC CLINIC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-31",
        "last_updated": "2019-12-31",
        "certification_date": "2019-12-31",
        "status": "A",
        "authorized_official_last_name": "BAXTER",
        "authorized_official_first_name": "RUBY",
        "authorized_official_title_or_position": "CORPORATE SECRETARY",
        "authorized_official_telephone_number": "214-282-7414"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr Kevin's Wellness Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Dec 31, 2019; 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.