NPIMap

Organization Active NPI

J. Scott Caldwell, D. C., a Professional Chiropractic Corporation

Doing business as Doctor's Center

  • Chiropractor
  • Monroe, LA
National Provider Identifier
1790829414
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
764 Issued in LA
Legal business name
J. SCOTT CALDWELL, D. C., A PROFESSIONAL CHIROPRACTIC CORPORATION
Doing business as
Doctor's Center
Practice address
3107 Desoto St
Monroe, LA 71201-3921
Phone
(318) 323-9686
NPI assigned
Feb 16, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Jeffrey Scott Caldwell, D. C.NPI 1851357123
Title
President
Phone
(318) 323-9686

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 764 LA Primary

Addresses

Primary practice location

3107 Desoto St
Monroe, LA 71201-3921

Mailing address

3107 Desoto St
Monroe, LA 71201-3921
Phone (318) 323-9686

Other identifiers 2

IdentifierTypeStateIssuer
1968889MedicaidLA
3186FOtherLABLUE CROSS

Other names 1

  • Doctor's Center Doing business as

National Provider Directory

National Provider Directory

Locations

3107 Desoto St
Monroe, LA 71201
Phone (318) 323-9686

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1171584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1790829414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3107 DESOTO ST",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712013921",
            "telephone_number": "318-323-9686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3107 DESOTO ST",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712013921",
            "telephone_number": "318-323-9686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J. SCOTT CALDWELL, D. C., A PROFESSIONAL CHIROPRACTIC CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CALDWELL",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "318-323-9686",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D. C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "LA",
            "license": "764",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1968889",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "3186F",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Doctor's Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Monroe, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.