Jeremy Ross Ward, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1645 Issued in LA

Practice address

4211 Lake Street
Suite 20
Lake Charles, LA 70605

Phone

(337) 990-5497

Fax

(337) 990-5570

NPI assigned

Feb 22, 2012

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Ultimate Performance Sports and Rehab LLC

  • Chiropractor
  • Lake Charles, LA
  • NPI 1902163157
  NPD Authorized official
• Full of Grace Therapy LLC

  • Occupational Therapist
  • Lake Charles, LA
  • NPI 1720702236
  NPD
• Star Care Service Inc

  • Family Medicine Physician
  • Lake Charles, LA
  • NPI 1982839445
  NPD (past)

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

{
    "created_epoch": "1329868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555545600000",
    "number": "1972876845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4211 LAKE STREET",
            "address_2": "SUITE 20",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "70605",
            "telephone_number": "337-990-5497",
            "fax_number": "337-990-5570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4211 LAKE STREET",
            "address_2": "SUITE 20",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "70605",
            "telephone_number": "337-990-5497",
            "fax_number": "337-990-5570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARD",
        "first_name": "JEREMY",
        "middle_name": "ROSS",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-02-22",
        "last_updated": "2019-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "11914",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "LA",
            "license": "1645",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Richard Wallace, MD
• Chase Walling, M.A., LPC
• Walson, Inc.
• Mary Walters
• Ward Chiropractic
• Joyce Ward
• Thomas Michael Ward, LPC
• Mark Ware
• Rachnee Warren
• Allyson Warshaw, LCSW

• Chiropractor in Lake Charles, LA
• Providers in Lake Charles, LA by specialty
• Chiropractor in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2019; 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.