Individual provider Active NPI

Michael R. Cavanaugh, D.C.

  • Chiropractor
  • Lafayette, LA
National Provider Identifier
1962450866
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
15 Issued in LA
Practice address
105 Independence Blvd. Ste.#3
Lafayette, LA 70506-2702
Phone
(337) 984-5852
Fax
(337) 984-5851
NPI assigned
May 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 15 LA Primary

Addresses

Primary practice location

105 Independence Blvd. Ste.#3
Lafayette, LA 70506-2702

Mailing address

105 Independence Blvd. Ste.#3
Lafayette, LA 70506-2702
Phone (337) 984-5852

Other identifiers 2

IdentifierTypeStateIssuer
1951617MedicaidLA
F6802OtherLABLUE CROSS BLUE SHIELD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101025000763 LA Practitioner - Chiropractic 6103019948 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
National College of Chiropractic, 1967
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Michael R. Cavanaugh, D.C. a Professional CorporationGroup PAC ID 8426241258, 2 clinicians

Practice addresses (Care Compare)

105 Independence Blvd
Suite 3
Lafayette, LA 70506-8710
Phone (337) 984-5852

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
15LAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Michael R. Cavanaugh, D.C. a Professional Corporation Chiropractor CurrentSince Mar 1, 2000 Accepting new patients
Bochm-Cabanas Chiropractic Center Chiropractor PastSince Aug 30, 2010 Accepting new patients

Locations

109 Independence Blvd
Lafayette, LA 70506
Phone (337) 306-9527

105 Independence Blvd
Ste 3
Lafayette, LA 70506
Phone (337) 984-5852

Organizations & group practices 2

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": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1962450866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 INDEPENDENCE BLVD. STE.#3",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705062702",
            "telephone_number": "337-984-5852",
            "fax_number": "337-984-5851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 INDEPENDENCE BLVD. STE.#3",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705062702",
            "telephone_number": "337-984-5852",
            "fax_number": "337-984-5851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAVANAUGH",
        "first_name": "MICHAEL",
        "middle_name": "R.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-04",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "LA",
            "license": "15",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1951617",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "F6802",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, 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.
  • 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.

Verify at the official NPI Registry.