NPIMap

Organization Active NPI

John J Sullivan Chiropractor Inc

  • Chiropractor
  • Lafayette, LA
National Provider Identifier
1871547562
Registry record updated Oct 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
783 Issued in LA
Legal business name
JOHN J SULLIVAN CHIROPRACTOR INC
Practice address
109 Independence Blvd
Lafayette, LA 70506-6086
Phone
(337) 984-9276
Fax
(337) 984-9012
NPI assigned
May 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2008

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

Authorized official

Name
John J Sullivan, D.C.
Title
Owner/President
Phone
(337) 984-9276

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 783 LA Primary

Addresses

Primary practice location

109 Independence Blvd
Lafayette, LA 70506-6086

Mailing address

109 Independence Blvd
Lafayette, LA 70506-6086
Phone (337) 984-9276

Other names 1

  • INDEPENDENCE CHIROPRACTIC Doing business as

National Provider Directory

National Provider Directory

Locations

109 Independence Blvd
Lafayette, LA 70506
Phone (337) 306-9527

NPI Registry JSON

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223942400000",
    "number": "1871547562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 INDEPENDENCE BLVD",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705066086",
            "telephone_number": "337-984-9276",
            "fax_number": "337-984-9012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 INDEPENDENCE BLVD",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705066086",
            "telephone_number": "337-984-9276",
            "fax_number": "337-984-9012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN J SULLIVAN CHIROPRACTOR INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-19",
        "last_updated": "2008-10-14",
        "status": "A",
        "authorized_official_last_name": "SULLIVAN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "337-984-9276",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "LA",
            "license": "783",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "INDEPENDENCE CHIROPRACTIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 14, 2008; 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.