Active NPI
Derrek Shane Oakley, D.C.
- Chiropractor
- Prairieville, LA
National Provider Identifier
1902882186
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1118
- Practice address
- 17487 Old Jefferson Hwy
Prairieville, LA 70769-4018 - Phone
- (225) 677-7777
- Fax
- (225) 677-7778
- NPI assigned
- Dec 19, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 1118 | LA | Primary |
Addresses
Primary practice location
17487 Old Jefferson Hwy
Prairieville, LA 70769-4018
Mailing address
PO Box 1708
Prairieville, LA 70769-1708
Phone (225) 677-7777
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| F0756 | Other | LA | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1118 | LA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134950400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1902882186",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1708",
"city": "PRAIRIEVILLE",
"state": "LA",
"postal_code": "707691708",
"telephone_number": "225-677-7777",
"fax_number": "225-677-7778"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17487 OLD JEFFERSON HWY",
"city": "PRAIRIEVILLE",
"state": "LA",
"postal_code": "707694018",
"telephone_number": "225-677-7777",
"fax_number": "225-677-7778"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OAKLEY",
"first_name": "DERREK",
"middle_name": "SHANE",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-19",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "LA",
"license": "1118",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "F0756",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Prairieville, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.