Rar, Inc.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1169 Issued in LA

Legal business name

RAR, INC.

Doing business as

Greenacres Chiropractic Clinic

Practice address

925 Benton Rd
Bossier City, LA 71111-3603

Phone

(318) 747-4433

Fax

(318) 747-4454

NPI assigned

Jul 14, 2008

Last updated

Jul 14, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Robert A Rougeau, D.C.

Title

Ceo

Phone

(318) 747-4433

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Greenacres Chiropractic Clinic Doing business as

Locations

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

{
    "created_epoch": "1215993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215993600000",
    "number": "1790949287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "925 BENTON RD",
            "city": "BOSSIER CITY",
            "state": "LA",
            "postal_code": "711113603",
            "telephone_number": "318-747-4433",
            "fax_number": "318-747-4454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "925 BENTON RD",
            "city": "BOSSIER CITY",
            "state": "LA",
            "postal_code": "711113603",
            "telephone_number": "318-747-4433",
            "fax_number": "318-747-4454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAR, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-14",
        "last_updated": "2008-07-14",
        "status": "A",
        "authorized_official_last_name": "ROUGEAU",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "318-747-4433",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "LA",
            "license": "1169",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1168211",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Greenacres Chiropractic Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Chiropractor in Bossier City, LA
• Providers in Bossier City, LA by specialty
• Chiropractor in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2008; 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.