Organization Active NPI

Lightfoot Clinic of Chiropractic

  • Chiropractor
  • Lafayette, LA
National Provider Identifier
1841442860
Registry record updated Oct 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1340 Issued in LA
Legal business name
LIGHTFOOT CLINIC OF CHIROPRACTIC
Practice address
1304 Bertrand Dr
Suite a-1
Lafayette, LA 70506-9107
Phone
(337) 237-2225
Fax
(337) 237-2226
NPI assigned
Oct 22, 2008
Last updated
Oct 22, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2008

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

Authorized official

Name
Tom K Lightfoot, D.C.NPI 1114971157
Title
Chiropractor
Phone
(337) 237-2225

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 1340 LA Primary

Addresses

Primary practice location

1304 Bertrand Dr
Suite a-1
Lafayette, LA 70506-9107

Mailing address

1304 Bertrand Dr
Suite a-1
Lafayette, LA 70506-9107
Phone (337) 237-2225

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081110000455 LA Part B Supplier - Clinic/Group Practice 9032278775 Receives reassigned benefits from 3 practitioners
Practice locations: Lafayette, LA

National Provider Directory

National Provider Directory

Locations

1304 Bertrand Dr
Ste A1
Lafayette, LA 70506
Phone (318) 233-0644

Practitioners & affiliated clinicians

Practitioners 9

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": "1224633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224633600000",
    "number": "1841442860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1304 BERTRAND DR",
            "address_2": "SUITE A-1",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705069107",
            "telephone_number": "337-237-2225",
            "fax_number": "337-237-2226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1304 BERTRAND DR",
            "address_2": "SUITE A-1",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705069107",
            "telephone_number": "337-237-2225",
            "fax_number": "337-237-2226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIGHTFOOT CLINIC OF CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-22",
        "last_updated": "2008-10-22",
        "status": "A",
        "authorized_official_last_name": "LIGHTFOOT",
        "authorized_official_first_name": "TOM",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "337-237-2225",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "LA",
            "license": "1340",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Oct 22, 2008; 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.