Graves-Black Chiropractic LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1771 Issued in LA

Legal business name

GRAVES-BLACK CHIROPRACTIC LLC

Practice address

2439 Manhattan Blvd
Suite 505-1
Harvey, LA 70058-5328

Phone

(504) 427-3405

NPI assigned

Jul 26, 2016

Last updated

Jul 26, 2016By 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. Tamecula Graves-Black, D.C.

Title

Manager

Phone

(504) 427-3405

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1469491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1469491200000",
    "number": "1922551951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2439 MANHATTAN BLVD",
            "address_2": "SUITE 505-1",
            "city": "HARVEY",
            "state": "LA",
            "postal_code": "700585328",
            "telephone_number": "504-427-3405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2439 MANHATTAN BLVD",
            "address_2": "SUITE 505-1",
            "city": "HARVEY",
            "state": "LA",
            "postal_code": "700585328",
            "telephone_number": "504-427-3405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAVES-BLACK CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-26",
        "last_updated": "2016-07-26",
        "status": "A",
        "authorized_official_last_name": "GRAVES-BLACK",
        "authorized_official_first_name": "TAMECULA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "504-427-3405",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "LA",
            "license": "1771",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2016; 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.