Active NPI
David L Killen, D.C.
- Chiropractor
- Bogalusa, LA
National Provider Identifier
1992884936
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(1) exclusion effective Sep 20, 2017.
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1416
- Practice address
- 521 Ontario Ave
Bogalusa, LA 70427-2612 - Phone
- (985) 735-1112
- Fax
- (985) 735-1386
- NPI assigned
- Nov 2, 2006
- 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 | 1416 | LA | Primary |
Addresses
Primary practice location
521 Ontario Ave
Bogalusa, LA 70427-2612
Mailing address
521 Ontario Ave
Bogalusa, LA 70427-2612
Phone (985) 735-1112
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2127390 | Medicaid | LA |
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
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1416 | LA | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| E and G Enterprises Inc | Past | Accepting new patients | |
| Global Medical Center, LLC | Past | Accepting new patients | |
| Back on Track, Inc | Chiropractor | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Customized Equipment (DME)
- Slidell, LA
- NPI 1639475353
-
- Rehabilitation Chiropractor
- Slidell, LA
- NPI 1710036496
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162425600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1360713600000",
"number": "1992884936",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "521 ONTARIO AVE",
"city": "BOGALUSA",
"state": "LA",
"postal_code": "704272612",
"telephone_number": "985-735-1112",
"fax_number": "985-735-1386"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "521 ONTARIO AVE",
"city": "BOGALUSA",
"state": "LA",
"postal_code": "704272612",
"telephone_number": "985-735-1112",
"fax_number": "985-735-1386"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KILLEN",
"first_name": "DAVID",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-02",
"last_updated": "2013-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "LA",
"license": "1416",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2127390",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bogalusa, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.