Zachary Chiropractic Clinic, Inc.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

991 Issued in LA

Legal business name

ZACHARY CHIROPRACTIC CLINIC, INC.

Practice address

1121 Church St
Suite B
Zachary, LA 70791-2377

Phone

(225) 654-0048

Fax

(225) 654-9906

NPI assigned

Aug 14, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Nicole Monique Halkovic, D.C.NPI 1083769715

Title

President

Phone

(225) 654-0048

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nicole Halkovic, DC

  • Chiropractor
  • Zachary, LA
  • NPI 1083769715
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1218672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218672000000",
    "number": "1902052525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1121 CHURCH ST",
            "address_2": "SUITE B",
            "city": "ZACHARY",
            "state": "LA",
            "postal_code": "707912377",
            "telephone_number": "225-654-0048",
            "fax_number": "225-654-9906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1121 CHURCH ST",
            "address_2": "SUITE B",
            "city": "ZACHARY",
            "state": "LA",
            "postal_code": "707912377",
            "telephone_number": "225-654-0048",
            "fax_number": "225-654-9906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZACHARY CHIROPRACTIC CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-14",
        "last_updated": "2008-08-14",
        "status": "A",
        "authorized_official_last_name": "HALKOVIC",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_middle_name": "MONIQUE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "225-654-0048",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "LA",
            "license": "991",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vivian Wright
• David J Wyatt, M.D.
• Carmen Howard Young, M.ED., CCC-SLP
• Z Dentistry LLC
• Zachary ASC Partners, LLC
• Zachary Dental Associates, LLC
• Zachary Dental Professionals, LLC
• Zachary Manor Nursing & Rehabilitation Center LLC
• Zachary OB GYN Services
• Zachary OBGYN Associates

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 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.