Organization Active NPI

Cross Gates Chiropractic, LLC

  • Chiropractor
  • Slidell, LA
National Provider Identifier
1770869000
Registry record updated Jun 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1531 Issued in LA
Legal business name
CROSS GATES CHIROPRACTIC, LLC
Practice address
1901 Possum Hollow Rd Ste 100
Slidell, LA 70458-8303
Phone
(985) 646-0800
Fax
(985) 259-8008
NPI assigned
Nov 1, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2021

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

Authorized official

Name
Dr. Jennifer Ann Irwin, DC
Title
Owner/Chiropractor
Phone
(985) 646-0800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 1531 LA Primary

Addresses

Primary practice location

1901 Possum Hollow Rd Ste 100
Slidell, LA 70458-8303

Mailing address

1901 Possum Hollow Rd Ste 100
Slidell, LA 70458-8303
Phone (985) 646-0800

National Provider Directory

National Provider Directory

Locations

1901 Possum Hollow Rd
#R
Slidell, LA 70458
Phone (985) 646-0800

2800 Gause Blvd E
Ste A
Slidell, LA 70461
Phone (504) 649-0950

1901 Possum Hollow Rd
Slidell, LA 70458
Phone (985) 646-0800

1901 Possum Hollow Rd
Ste 100
Slidell, LA 70458
Phone (985) 646-0800

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": "1320105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623196800000",
    "number": "1770869000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 POSSUM HOLLOW RD STE 100",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704588303",
            "telephone_number": "985-646-0800",
            "fax_number": "985-259-8008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 POSSUM HOLLOW RD STE 100",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704588303",
            "telephone_number": "985-646-0800",
            "fax_number": "985-259-8008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSS GATES CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-01",
        "last_updated": "2021-06-09",
        "certification_date": "2021-06-09",
        "status": "A",
        "authorized_official_last_name": "IRWIN",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTOR",
        "authorized_official_telephone_number": "985-646-0800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "LA",
            "license": "1531",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Slidell, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2021; 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.