NPIMap

Individual provider Active NPI

Paul Gregory Lancon, DC

  • Chiropractor
  • Sulphur, LA
National Provider Identifier
1952484917
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
997 Issued in LA
Practice address
1908 Maplewood Dr
Suite a
Sulphur, LA 70663
Phone
(337) 533-8750
Fax
(337) 533-8752
NPI assigned
Oct 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 997 LA Primary

Addresses

Primary practice location

1908 Maplewood Dr
Suite a
Sulphur, LA 70663

Mailing address

1908 Maplewood Dr
Suite a
Sulphur, LA 70663
Phone (337) 533-8750

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

LicenseStateTypeSpecialty
997LAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Masse Chiropractic Clinic Chiropractor Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1952484917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1908 MAPLEWOOD DR",
            "address_2": "SUITE A",
            "city": "SULPHUR",
            "state": "LA",
            "postal_code": "70663",
            "telephone_number": "337-533-8750",
            "fax_number": "337-533-8752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1908 MAPLEWOOD DR",
            "address_2": "SUITE A",
            "city": "SULPHUR",
            "state": "LA",
            "postal_code": "70663",
            "telephone_number": "337-533-8750",
            "fax_number": "337-533-8752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANCON",
        "first_name": "PAUL",
        "middle_name": "GREGORY",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "LA",
            "license": "997",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sulphur, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.