NPIMap

Organization Active NPI

Mayfield Chiropractic Clinic Bossier LLC

  • Chiropractor
  • Bossier City, LA
National Provider Identifier
1801307293
Registry record updated Oct 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1067 Issued in LA
Legal business name
MAYFIELD CHIROPRACTIC CLINIC BOSSIER LLC
Practice address
2136 Airline Dr
Bossier City, LA 71111-3106
Phone
(318) 828-1517
Fax
(318) 828-1685
NPI assigned
Oct 12, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2017

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

Authorized official

Name
Dr. Gregory J Mayfield, DC
Title
Owner
Phone
(318) 512-5230

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 1067 LA Primary

Addresses

Primary practice location

2136 Airline Dr
Bossier City, LA 71111-3106

Mailing address

PO Box 14923
Monroe, LA 71207-4923
Phone (318) 512-5231

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1507766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1507766400000",
    "number": "1801307293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 14923",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712074923",
            "telephone_number": "318-512-5231",
            "fax_number": "318-323-7265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2136 AIRLINE DR",
            "city": "BOSSIER CITY",
            "state": "LA",
            "postal_code": "711113106",
            "telephone_number": "318-828-1517",
            "fax_number": "318-828-1685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAYFIELD CHIROPRACTIC CLINIC BOSSIER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-12",
        "last_updated": "2017-10-12",
        "status": "A",
        "authorized_official_last_name": "MAYFIELD",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "318-512-5230",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "LA",
            "license": "1067",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bossier City, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2017; 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.