Active NPI
Jean Luke Smith, DC
- Chiropractor
- Youngsville, LA
National Provider Identifier
1962919118
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1813
- Practice address
- 2761 E Milton Ave Ste B-4
Youngsville, LA 70592-6701 - Phone
- (337) 329-3362
- NPI assigned
- Jan 9, 2018
- 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 | 1813 | LA | Primary |
Addresses
Primary practice location
2761 E Milton Ave Ste B-4
Youngsville, LA 70592-6701
Mailing address
312 Tracteur Rd
Youngsville, LA 70592-5879
Phone (337) 329-3362
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180313000719 | LA | Practitioner - Chiropractic | 3971865809 | Practice locations: Youngsville, LA |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2761 E Milton Ave
Youngsville, LA 70592-6701
Phone (337) 210-3399
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1515456000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1529107200000",
"number": "1962919118",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "312 TRACTEUR RD",
"city": "YOUNGSVILLE",
"state": "LA",
"postal_code": "705925879",
"telephone_number": "337-329-3362"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2761 E MILTON AVE STE B-4",
"city": "YOUNGSVILLE",
"state": "LA",
"postal_code": "705926701",
"telephone_number": "337-329-3362"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "JEAN LUKE",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-01-09",
"last_updated": "2018-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "LA",
"license": "1813",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Youngsville, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.