Active NPI
Jack Alexander Worley
- Chiropractor
- Lake Charles, LA
National Provider Identifier
1962268805
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2007
- Practice address
- 1709B W Prien Lake Rd
Lake Charles, LA 70601-8360 - Phone
- (337) 794-8216
- NPI assigned
- Feb 27, 2024
- Sex
- Male
- Sole proprietor
- Yes
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 | 2007 | LA | Primary |
Addresses
Primary practice location
1709B W Prien Lake Rd
Lake Charles, LA 70601-8360
Mailing address
230 W Oak LN
Lake Charles, LA 70605-2808
Phone (337) 794-8216
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Life Chiropractic College, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1709 W Prien Lake Rd
Suite B
Lake Charles, LA 70601-8360
Phone 33765645141
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2007 | LA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Worley Chiropractic | Chiropractor | Current | Accepting new patients |
Locations
1709 W Prien Lake Rd
#B
Lake Charles, LA 70601
Phone (337) 474-5201
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.
-
- Chiropractor
- Lake Charles, LA
- NPI 1538928486
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1708992000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710374400000",
"number": "1962268805",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "230 W OAK LN",
"city": "LAKE CHARLES",
"state": "LA",
"postal_code": "706052808",
"telephone_number": "337-794-8216"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1709B W PRIEN LAKE RD",
"city": "LAKE CHARLES",
"state": "LA",
"postal_code": "706018360",
"telephone_number": "337-794-8216"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WORLEY",
"first_name": "JACK",
"middle_name": "ALEXANDER",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-02-27",
"last_updated": "2024-03-14",
"certification_date": "2024-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "LA",
"license": "2007",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lake Charles, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.