Active NPI
Gendia Marie Bonvillian, DC
- Chiropractor
- River Ridge, LA
National Provider Identifier
1982367967
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1930
- Practice address
- 1109 Dickory Ave Apt B315
River Ridge, LA 70123-2278 - Phone
- (504) 284-8628
- NPI assigned
- Oct 18, 2021
- Last updated
- Oct 18, 2021
- Sex
- Female
- 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 | 1930 | LA | Primary |
Addresses
Primary practice location
1109 Dickory Ave Apt B315
River Ridge, LA 70123-2278
Mailing address
1109 Dickory Ave Apt B315
River Ridge, LA 70123-2278
Phone (504) 284-8628
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1930 | LA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1634515200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1634515200000",
"number": "1982367967",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1109 DICKORY AVE APT B315",
"city": "RIVER RIDGE",
"state": "LA",
"postal_code": "701232278",
"telephone_number": "504-284-8628"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1109 DICKORY AVE APT B315",
"city": "RIVER RIDGE",
"state": "LA",
"postal_code": "701232278",
"telephone_number": "504-284-8628"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BONVILLIAN",
"first_name": "GENDIA",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-10-18",
"last_updated": "2021-10-18",
"certification_date": "2021-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "LA",
"license": "1930",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in River Ridge, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.