Jeff Davis Chiropractic Center, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

6102 Issued in LA

Legal business name

JEFF DAVIS CHIROPRACTIC CENTER, LLC

Practice address

214 N Church St
Jennings, LA 70546-5810

Phone

(337) 824-6166

NPI assigned

Dec 22, 2014

Last updated

Dec 22, 2014By 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

Jacinda Harden, DCNPI 1760790588

Title

Vice President

Phone

(337) 532-7636

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Locations

Practitioners 4

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.

• Cory Lapoint, D.C.

  • Chiropractor
  • McKee, KY
  • NPI 1376850578

  LA

  Medicare reassignment NPD
• Jacinda Lynn Harden, D.C.

  • Chiropractor
  • Temple, TX
  • NPI 1760790588
  NPD (past) Authorized official
• Robert Lee Hanks, DC

  • Chiropractor
  • Jennings, LA
  • NPI 1679681100
  NPD (past)
• David Canon Lister, D.C.

  • Chiropractor
  • Jennings, LA
  • NPI 1194735498
  NPD (past)

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

{
    "created_epoch": "1419206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1419206400000",
    "number": "1801284070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 N CHURCH ST",
            "city": "JENNINGS",
            "state": "LA",
            "postal_code": "705465810",
            "telephone_number": "337-824-6166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 N CHURCH ST",
            "city": "JENNINGS",
            "state": "LA",
            "postal_code": "705465810",
            "telephone_number": "337-824-6166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFF DAVIS CHIROPRACTIC CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-22",
        "last_updated": "2014-12-22",
        "status": "A",
        "authorized_official_last_name": "HARDEN",
        "authorized_official_first_name": "JACINDA",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "337-532-7636",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "LA",
            "license": "6102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Imperial Health, LLP
• J Barry Bush, Inc (Kay F. Bush, MA, LPC, LLC)
• Helen Renae Jabusch, COTA
• Janisa Leann Jackson
• Jeff Davis Addictive Disorders Clinic
• Jeff Davis Chiropractic Clinci
• Jeff Davis Family Medicine a Professional Medical Corporation
• Jeff Davis Imaging
• Jeff Davis Living Center, LLC
• Jeff Davis Medical Supplies, LLC

• Chiropractor in Jennings, LA
• Providers in Jennings, LA by specialty
• Chiropractor in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.