Warshaw Chiropractic Clinic LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1521 Issued in LA

Legal business name

WARSHAW CHIROPRACTIC CLINIC LLC

Practice address

1629 Carter St
Vidalia, LA 71373-3111

Phone

(318) 336-4959

NPI assigned

Sep 8, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Monty Roy Warshaw, D.C.NPI 1023341112

Title

Owner

Phone

(318) 336-4959

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Monty Roy Warshaw, D.C.

  • Chiropractor
  • Vidalia, LA
  • NPI 1023341112
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1252368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344902400000",
    "number": "1992038095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1629 CARTER ST",
            "city": "VIDALIA",
            "state": "LA",
            "postal_code": "713733111",
            "telephone_number": "318-336-4959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1629 CARTER ST",
            "city": "VIDALIA",
            "state": "LA",
            "postal_code": "713733111",
            "telephone_number": "318-336-4959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WARSHAW CHIROPRACTIC CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-08",
        "last_updated": "2012-08-14",
        "status": "A",
        "authorized_official_last_name": "WARSHAW",
        "authorized_official_first_name": "MONTY",
        "authorized_official_middle_name": "ROY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "318-336-4959",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "LA",
            "license": "1521",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittany Tyler
• Vicksburg Clinic LLC
• W . Jarrod Gregg, DDS, LLC
• Wal-Mart Stores East LP
• Breanna M Walker
• Monty Roy Warshaw, D.C.
• Ladonna Kay Washington-Harper
• Norvell Lashawn Watts
• Abby Webb
• Tameka Rachel Webster

• Chiropractor in Vidalia, LA
• Providers in Vidalia, LA by specialty
• Chiropractor in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.