Dr Suzanne P Dardeau a Community Chiropractic Corp

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

926 Issued in LA

Legal business name

DR SUZANNE P DARDEAU A COMMUNITY CHIROPRACTIC CORP

Doing business as

Community Chiropractic

Practice address

2801 Kaliste Saloom Rd
Suite 200
Lafayette, LA 70508-7181

Phone

(337) 989-8568

Fax

(337) 989-7036

NPI assigned

Mar 15, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Suzanne P Dardeau, DC

Title

Owner President

Phone

(337) 989-8568

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Community Chiropractic Doing business as

Locations

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1871627547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 KALISTE SALOOM RD",
            "address_2": "SUITE 200",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705087181",
            "telephone_number": "337-989-8568",
            "fax_number": "337-989-7036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 KALISTE SALOOM RD",
            "address_2": "SUITE 200",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705087181",
            "telephone_number": "337-989-8568",
            "fax_number": "337-989-7036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR SUZANNE P DARDEAU A COMMUNITY CHIROPRACTIC CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DARDEAU",
        "authorized_official_first_name": "SUZANNE",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER PRESIDENT",
        "authorized_official_telephone_number": "337-989-8568",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "LA",
            "license": "926",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1956147",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Community Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Chiropractor in Lafayette, LA
• Providers in Lafayette, LA by specialty
• Chiropractor in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.