NPIMap

Organization Active NPI

Three Doc P.C.

  • Primary Care Clinic/Center
  • Bossier City, LA
National Provider Identifier
1770480923
Registry record updated Oct 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
THREE DOC P.C.
Practice address
711 Horseshoe Blvd
Bossier City, LA 71111-4472
Phone
(318) 741-7894
NPI assigned
Oct 21, 2026
Last updated
Oct 21, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
THREE DOC P.C.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 21, 2026

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

Authorized official

Name
Paul Dickenson
Title
Treasurer
Phone
(423) 602-9530

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

711 Horseshoe Blvd
Bossier City, LA 71111-4472

Mailing address

1110 Market St Ste 502
Chattanooga, TN 37402-3310
Phone (682) 259-6319

Other names 1

  • Three Doc P.C. - Caesars Bossier City Other name

National Provider Directory

National Provider Directory
Tax ID family
Three Doc PC9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

Locations

711 Horseshoe Blvd
Bossier City, LA 71111
Phone (318) 741-7894

NPI Registry JSON

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

{
    "created_epoch": "1792540800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1792540800000",
    "number": "1770480923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 MARKET ST STE 502",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374023310",
            "telephone_number": "682-259-6319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 HORSESHOE BLVD",
            "city": "BOSSIER CITY",
            "state": "LA",
            "postal_code": "711114472",
            "telephone_number": "318-741-7894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THREE DOC P.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THREE DOC P.C.",
        "enumeration_date": "2026-10-21",
        "last_updated": "2026-10-21",
        "certification_date": "2026-10-21",
        "status": "A",
        "authorized_official_last_name": "DICKENSON",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "423-602-9530"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Three Doc P.C. - Caesars Bossier City",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Bossier City, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2026; 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.