Active NPI
Randle B Hawthorne, D.C.
- Chiropractor
- Bastrop, LA
National Provider Identifier
1972796753
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 293
- Practice address
- 608 N Marable St
Bastrop, LA 71220-3032 - Phone
- (318) 281-0550
- Fax
- (318) 283-1883
- NPI assigned
- Aug 24, 2007
- Sex
- Male
- Sole proprietor
- No
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 | 293 | LA | Primary |
Addresses
Primary practice location
608 N Marable St
Bastrop, LA 71220-3032
Mailing address
608 N Marable St
Bastrop, LA 71220-3032
Phone (318) 281-0550
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Chiropractic Clinic | Chiropractor | Past | Accepting new patients |
| Bastrop Chiropractic Spine & Injury Center | Chiropractor | Past | Accepting new patients |
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.
-
- Chiropractor
- Bastrop, LA
- NPI 1790883783
-
- Chiropractor
- Bastrop, LA
- NPI 1861654410
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187913600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1194480000000",
"number": "1972796753",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "608 N MARABLE ST",
"city": "BASTROP",
"state": "LA",
"postal_code": "712203032",
"telephone_number": "318-281-0550",
"fax_number": "318-283-1883"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "608 N MARABLE ST",
"city": "BASTROP",
"state": "LA",
"postal_code": "712203032",
"telephone_number": "318-281-0550",
"fax_number": "318-283-1883"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAWTHORNE",
"first_name": "RANDLE",
"middle_name": "B",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-08-24",
"last_updated": "2007-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "LA",
"license": "293",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bastrop, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 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.