Active NPI
Ronald Keith Cormier, D.C.
- Chiropractor
- Lafayette, LA
National Provider Identifier
1811901853
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1319
- Practice address
- 3823 W Congress St
Lafayette, LA 70506-6021 - Phone
- (337) 237-5306
- Fax
- (337) 552-2044
- NPI assigned
- Jul 27, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 1319 | LA | Primary |
Addresses
Primary practice location
3823 W Congress St
Lafayette, LA 70506-6021
Mailing address
3823 W Congress St
Lafayette, LA 70506-6021
Phone (337) 237-5306
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 669530 | Other | LA | ACN GROUP |
| 7729631 | Other | LA | AETNA |
| 11356331 | Other | LA | CAQH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1319 | LA | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pinhook Chiropractic Clinic | Chiropractor | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Chiropractor
- Lafayette, LA
- NPI 1215091855
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1392940800000",
"number": "1811901853",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3823 W CONGRESS ST",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705066021",
"telephone_number": "337-237-5306",
"fax_number": "337-552-2044"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3823 W CONGRESS ST",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705066021",
"telephone_number": "337-237-5306",
"fax_number": "337-552-2044"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORMIER",
"first_name": "RONALD",
"middle_name": "KEITH",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-27",
"last_updated": "2014-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "LA",
"license": "1319",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ACN GROUP",
"identifier": "669530",
"state": "LA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7729631",
"state": "LA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "11356331",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lafayette, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.