Organization Active NPI

Guice Chiropractic Care, LLC

  • Chiropractor
  • Shreveport, LA
National Provider Identifier
1902064009
Registry record updated May 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
945 Issued in LA
Legal business name
GUICE CHIROPRACTIC CARE, LLC
Practice address
7645 Pines Rd
Shreveport, LA 71129-3905
Phone
(318) 683-0300
Fax
(318) 687-3937
NPI assigned
May 27, 2008
Last updated
May 27, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2008

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

Authorized official

Name
Dr. Mark Dudley Guice, D.C.NPI 1811956592
Title
Chiropractic
Phone
(318) 683-0300

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 945 LA Primary

Addresses

Primary practice location

7645 Pines Rd
Shreveport, LA 71129-3905

Mailing address

7645 Pines Rd
Shreveport, LA 71129-3905
Phone (318) 683-0300

Other identifiers 2

IdentifierTypeStateIssuer
1811956592OtherLAINDIVIDUAL NPI
HO433OtherLABLUECROSS BLUE SHIELD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150416000820 LA Part B Supplier - Clinic/Group Practice 2466770706 Receives reassigned benefits from 1 practitioner
Practice locations: Shreveport, LA

National Provider Directory

National Provider Directory

Locations

7645 Pines Rd
Shreveport, LA 71129
Phone (318) 683-0300

Practitioners & affiliated clinicians

Practitioners 1

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": "1211846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211846400000",
    "number": "1902064009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7645 PINES RD",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711293905",
            "telephone_number": "318-683-0300",
            "fax_number": "318-687-3937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7645 PINES RD",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711293905",
            "telephone_number": "318-683-0300",
            "fax_number": "318-687-3937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUICE CHIROPRACTIC CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-27",
        "last_updated": "2008-05-27",
        "status": "A",
        "authorized_official_last_name": "GUICE",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "DUDLEY",
        "authorized_official_title_or_position": "CHIROPRACTIC",
        "authorized_official_telephone_number": "318-683-0300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "LA",
            "license": "945",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1811956592",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUE SHIELD",
            "identifier": "HO433",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Shreveport, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 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.