Individual provider Active NPI

Diane L Sino, DC

  • Chiropractor
  • Shreveport, LA
National Provider Identifier
1780638593
Registry record updated Jun 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
444 Issued in LA
Practice address
7840 Jewella Ave
Shreveport, LA 71108-5004
Phone
(318) 687-0881
Fax
(318) 687-7585
NPI assigned
May 19, 2006
Last updated
Jun 15, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 444 LA Primary

Addresses

Primary practice location

7840 Jewella Ave
Shreveport, LA 71108-5004

Mailing address

7840 Jewella Ave
Shreveport, LA 71108-5004
Phone (318) 687-0881

Other identifiers 2

IdentifierTypeStateIssuer
350051942OtherLARAILROAD PROVIDER #
F9160OtherLABLUE CROSS PROVIDER #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080519000361 LA Practitioner - Chiropractic 5597834481 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - West Sunnyvale, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

7840 Jewella Ave
Shreveport, LA 71108-5004
Phone (318) 687-0881

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
444LAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Casting Care Clinic LLC CurrentSince Nov 14, 2021 Accepting new patients
Sino Chiropractic Health Center, LLC Chiropractor CurrentSince Feb 28, 2008 Accepting new patients

Locations

7840 Jewella Ave
Shreveport, LA 71108
Phone (318) 401-1432

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339718400000",
    "number": "1780638593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7840 JEWELLA AVE",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711085004",
            "telephone_number": "318-687-0881",
            "fax_number": "318-687-7585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7840 JEWELLA AVE",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711085004",
            "telephone_number": "318-687-0881",
            "fax_number": "318-687-7585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SINO",
        "first_name": "DIANE",
        "middle_name": "L",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-19",
        "last_updated": "2012-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "LA",
            "license": "444",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD PROVIDER #",
            "identifier": "350051942",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS PROVIDER #",
            "identifier": "F9160",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Shreveport, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.