Organization Active NPI

Dr Charles D Clauss Prof Corp

  • Chiropractor
  • Jena, LA
National Provider Identifier
1811204969
Registry record updated Sep 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
586 Issued in LA
Legal business name
DR CHARLES D CLAUSS PROF CORP
Practice address
2804 North First St
Jena, LA 71342-1865
Phone
(318) 992-4124
Fax
(318) 992-4149
NPI assigned
Sep 10, 2010
Last updated
Sep 10, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2010

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

Authorized official

Name
Dr. Charles D Clauss, D.C.NPI 1336162882
Title
Owner
Phone
(318) 992-4124

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
Chiropractor 111N00000X 586 LA Primary

Addresses

Primary practice location

2804 North First St
Jena, LA 71342-1865

Mailing address

PO Box 1865
Jena, LA 71342-1865
Phone (318) 992-4124

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101103000149 LA Part B Supplier - Clinic/Group Practice 7517151624 Receives reassigned benefits from 1 practitioner
Practice locations: Jena, LA

National Provider Directory

National Provider Directory

Locations

2804 N First St
Jena, LA 71342
Phone (318) 992-4124

Practitioners & affiliated clinicians

Practitioners 2

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": "1284076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284076800000",
    "number": "1811204969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1865",
            "city": "JENA",
            "state": "LA",
            "postal_code": "713421865",
            "telephone_number": "318-992-4124",
            "fax_number": "318-992-4149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2804 NORTH FIRST ST",
            "city": "JENA",
            "state": "LA",
            "postal_code": "713421865",
            "telephone_number": "318-992-4124",
            "fax_number": "318-992-4149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR CHARLES D CLAUSS PROF CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-10",
        "last_updated": "2010-09-10",
        "status": "A",
        "authorized_official_last_name": "CLAUSS",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "318-992-4124",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "LA",
            "license": "586",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jena, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2010; 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.